National Provider Identifier [NPI]: |
1093053977 |
Last Name Of The Provider |
RUSHING |
First Name Of The Provider |
KARA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 DOCTORS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW ALBANY |
Zip Code Of The Provider |
386523109 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
1531 |
Number Of Medicare Beneficiaries |
236 |
Total Submitted Charge Amount |
55882 |
Total Medicare Allowed Amount |
31158.08 |
Total Medicare Payment Amount |
22684.94 |
Total Medicare Standardized Payment Amount |
29037.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
562 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
2937 |
Total Drug Medicare AllowedAmount |
461.48 |
Total Drug Medicare PaymentAmount |
331.43 |
Total Drug Medicare Standardized Payment Amount |
331.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
969 |
Number Of Medicare Beneficiaries With Medical Services |
236 |
Total Medical Submitted Charge Amount |
52945 |
Total Medical Medicare Allowed Amount |
30696.6 |
Total Medical Medicare Payment Amount |
22353.51 |
Total Medical Medicare Standardized Payment Amount |
28706.4 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
86 |
Number Of Beneficiaries Age 75 to 84 |
46 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
154 |
Number Of Male Beneficiaries |
82 |
Number Of Non Hispanic White Beneficiaries |
187 |
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 |
144 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9129 |