| National Provider Identifier [NPI]: | 1386888022 |
| Last Name Of The Provider | CAPOCCIA |
| First Name Of The Provider | KRYSTYNA |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | RN, FNP |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 18 KIMBER CT |
| Street Address 2 Of The Provider | |
| City Of The Provider | EAST NORTHPORT |
| Zip Code Of The Provider | 117311331 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Nurse Practitioner |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 17 |
| Number Of Services | 1107 |
| Number Of Medicare Beneficiaries | 297 |
| Total Submitted Charge Amount | 253544.63 |
| Total Medicare Allowed Amount | 73549.29 |
| Total Medicare Payment Amount | 53528.02 |
| Total Medicare Standardized Payment Amount | 54378.45 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 68 |
| Number Of Medicare Beneficiaries With Drug Services | 65 |
| Total Drug Submitted ChargeAmount | 2783.86 |
| Total Drug Medicare AllowedAmount | 1093.75 |
| Total Drug Medicare PaymentAmount | 1062.81 |
| Total Drug Medicare Standardized Payment Amount | 1062.81 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 13 |
| Number Of Medical Services | 1039 |
| Number Of Medicare Beneficiaries With Medical Services | 297 |
| Total Medical Submitted Charge Amount | 250760.77 |
| Total Medical Medicare Allowed Amount | 72455.54 |
| Total Medical Medicare Payment Amount | 52465.21 |
| Total Medical Medicare Standardized Payment Amount | 53315.64 |
| Average Age Of Beneficiaries | 50 |
| Number Of Beneficiaries Age Less65 | 267 |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 78 |
| Number Of Male Beneficiaries | 219 |
| Number Of Non Hispanic White Beneficiaries | 238 |
| Number Of Black or African American Beneficiaries | 28 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 18 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | 8 |
| Percent Of With Chronic Kidney Disease | 10 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 6 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 20 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 36 |
| Percent Of With Ischemic Heart Disease | 12 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 9 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 32 |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.1479 |