National Provider Identifier [NPI]: |
1134468721 |
Last Name Of The Provider |
ARNETT |
First Name Of The Provider |
KARMEN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
450B WASHINGTON JACKSON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EATON |
Zip Code Of The Provider |
453207600 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1501 |
Number Of Medicare Beneficiaries |
162 |
Total Submitted Charge Amount |
112727.5 |
Total Medicare Allowed Amount |
63932.46 |
Total Medicare Payment Amount |
48431.9 |
Total Medicare Standardized Payment Amount |
55976.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
81 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
1238.5 |
Total Drug Medicare AllowedAmount |
362.48 |
Total Drug Medicare PaymentAmount |
311.54 |
Total Drug Medicare Standardized Payment Amount |
311.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1420 |
Number Of Medicare Beneficiaries With Medical Services |
162 |
Total Medical Submitted Charge Amount |
111489 |
Total Medical Medicare Allowed Amount |
63569.98 |
Total Medical Medicare Payment Amount |
48120.36 |
Total Medical Medicare Standardized Payment Amount |
55664.63 |
Average Age Of Beneficiaries |
57 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
37 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
95 |
Number Of Male Beneficiaries |
67 |
Number Of Non Hispanic White Beneficiaries |
151 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
66 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
9 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
0 |
Average HCC Risk Score Of Beneficiaries |
1.3244 |