National Provider Identifier [NPI]: |
1548354194 |
Last Name Of The Provider |
DORRIS |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
APN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
610 SHEPHERD DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEARCY |
Zip Code Of The Provider |
721436873 |
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 |
82 |
Number Of Services |
3455 |
Number Of Medicare Beneficiaries |
750 |
Total Submitted Charge Amount |
209592.36 |
Total Medicare Allowed Amount |
86598.84 |
Total Medicare Payment Amount |
58990.86 |
Total Medicare Standardized Payment Amount |
76729.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
1318 |
Number Of Medicare Beneficiaries With Drug Services |
229 |
Total Drug Submitted ChargeAmount |
10337 |
Total Drug Medicare AllowedAmount |
1731.67 |
Total Drug Medicare PaymentAmount |
1380.08 |
Total Drug Medicare Standardized Payment Amount |
1380.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2137 |
Number Of Medicare Beneficiaries With Medical Services |
746 |
Total Medical Submitted Charge Amount |
199255.36 |
Total Medical Medicare Allowed Amount |
84867.17 |
Total Medical Medicare Payment Amount |
57610.78 |
Total Medical Medicare Standardized Payment Amount |
75349 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
248 |
Number Of Beneficiaries Age 65 to 74 |
269 |
Number Of Beneficiaries Age 75 to 84 |
173 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
483 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
691 |
Number Of Black or African American Beneficiaries |
41 |
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 |
507 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
243 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1098 |