National Provider Identifier [NPI]: |
1205926292 |
Last Name Of The Provider |
PARSONS |
First Name Of The Provider |
LISA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
210 CLOVER REACH |
Street Address 2 Of The Provider |
|
City Of The Provider |
PEACHTREE CITY |
Zip Code Of The Provider |
302691657 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
52 |
Number Of Medicare Beneficiaries |
27 |
Total Submitted Charge Amount |
1938.81 |
Total Medicare Allowed Amount |
1629.26 |
Total Medicare Payment Amount |
1276.11 |
Total Medicare Standardized Payment Amount |
1571.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
826.83 |
Total Drug Medicare AllowedAmount |
684.46 |
Total Drug Medicare PaymentAmount |
670.69 |
Total Drug Medicare Standardized Payment Amount |
670.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
34 |
Number Of Medicare Beneficiaries With Medical Services |
27 |
Total Medical Submitted Charge Amount |
1111.98 |
Total Medical Medicare Allowed Amount |
944.8 |
Total Medical Medicare Payment Amount |
605.42 |
Total Medical Medicare Standardized Payment Amount |
900.53 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
14 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
0 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
0 |
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
|
Percent Of With Diabetes |
|
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
|
Percent Of With Osteoporosis |
0 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
|
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
0 |
Average HCC Risk Score Of Beneficiaries |
0.6332 |