National Provider Identifier [NPI]: |
1073572970 |
Last Name Of The Provider |
BOND |
First Name Of The Provider |
LAUREN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
125 SHOREWAY DR |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
QUEENSTOWN |
Zip Code Of The Provider |
216581666 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
931 |
Number Of Medicare Beneficiaries |
232 |
Total Submitted Charge Amount |
64191 |
Total Medicare Allowed Amount |
34220.05 |
Total Medicare Payment Amount |
24339.05 |
Total Medicare Standardized Payment Amount |
27598.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
91 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
2870 |
Total Drug Medicare AllowedAmount |
1719.48 |
Total Drug Medicare PaymentAmount |
1471.17 |
Total Drug Medicare Standardized Payment Amount |
1471.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
840 |
Number Of Medicare Beneficiaries With Medical Services |
232 |
Total Medical Submitted Charge Amount |
61321 |
Total Medical Medicare Allowed Amount |
32500.57 |
Total Medical Medicare Payment Amount |
22867.88 |
Total Medical Medicare Standardized Payment Amount |
26127.26 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
47 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
172 |
Number Of Male Beneficiaries |
60 |
Number Of Non Hispanic White Beneficiaries |
220 |
Number Of Black or African American Beneficiaries |
12 |
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 |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
206 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9039 |