National Provider Identifier [NPI]: |
1063748101 |
Last Name Of The Provider |
REYNOLDS |
First Name Of The Provider |
KAREN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
FNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2010 E HIGHWAY 74 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELKINS |
Zip Code Of The Provider |
727272936 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
651 |
Number Of Medicare Beneficiaries |
106 |
Total Submitted Charge Amount |
39229 |
Total Medicare Allowed Amount |
23387.01 |
Total Medicare Payment Amount |
16403.02 |
Total Medicare Standardized Payment Amount |
21292.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
130 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
1846 |
Total Drug Medicare AllowedAmount |
351.74 |
Total Drug Medicare PaymentAmount |
289.08 |
Total Drug Medicare Standardized Payment Amount |
289.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
521 |
Number Of Medicare Beneficiaries With Medical Services |
106 |
Total Medical Submitted Charge Amount |
37383 |
Total Medical Medicare Allowed Amount |
23035.27 |
Total Medical Medicare Payment Amount |
16113.94 |
Total Medical Medicare Standardized Payment Amount |
21003.25 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
33 |
Number Of Beneficiaries Age 75 to 84 |
22 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
70 |
Number Of Male Beneficiaries |
36 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
82 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9813 |