National Provider Identifier [NPI]: |
1164738951 |
Last Name Of The Provider |
MESCHKO |
First Name Of The Provider |
KARA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
APRN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2211 MAYFAIR DR |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
OWENSBORO |
Zip Code Of The Provider |
423014568 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
2085 |
Number Of Medicare Beneficiaries |
562 |
Total Submitted Charge Amount |
109489 |
Total Medicare Allowed Amount |
48775.48 |
Total Medicare Payment Amount |
31142.75 |
Total Medicare Standardized Payment Amount |
41679.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
919 |
Number Of Medicare Beneficiaries With Drug Services |
146 |
Total Drug Submitted ChargeAmount |
3300 |
Total Drug Medicare AllowedAmount |
585.83 |
Total Drug Medicare PaymentAmount |
357 |
Total Drug Medicare Standardized Payment Amount |
357 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1166 |
Number Of Medicare Beneficiaries With Medical Services |
562 |
Total Medical Submitted Charge Amount |
106189 |
Total Medical Medicare Allowed Amount |
48189.65 |
Total Medical Medicare Payment Amount |
30785.75 |
Total Medical Medicare Standardized Payment Amount |
41322.46 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
358 |
Number Of Male Beneficiaries |
204 |
Number Of Non Hispanic White Beneficiaries |
528 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
391 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0305 |