National Provider Identifier [NPI]: |
1619257672 |
Last Name Of The Provider |
GASKIN |
First Name Of The Provider |
KARA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1810 MULKEY RD STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTELL |
Zip Code Of The Provider |
301061150 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1921 |
Number Of Medicare Beneficiaries |
368 |
Total Submitted Charge Amount |
168551 |
Total Medicare Allowed Amount |
63760.19 |
Total Medicare Payment Amount |
49822.59 |
Total Medicare Standardized Payment Amount |
56220.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
722 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
43778 |
Total Drug Medicare AllowedAmount |
14672.33 |
Total Drug Medicare PaymentAmount |
11407.31 |
Total Drug Medicare Standardized Payment Amount |
11407.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1199 |
Number Of Medicare Beneficiaries With Medical Services |
368 |
Total Medical Submitted Charge Amount |
124773 |
Total Medical Medicare Allowed Amount |
49087.86 |
Total Medical Medicare Payment Amount |
38415.28 |
Total Medical Medicare Standardized Payment Amount |
44813.55 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
146 |
Number Of Male Beneficiaries |
222 |
Number Of Non Hispanic White Beneficiaries |
335 |
Number Of Black or African American Beneficiaries |
22 |
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 |
343 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3696 |