National Provider Identifier [NPI]: |
1922152602 |
Last Name Of The Provider |
SCHENKEL |
First Name Of The Provider |
LORRAINE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13644 N SANDARIO RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARANA |
Zip Code Of The Provider |
856538579 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
3569 |
Number Of Medicare Beneficiaries |
58 |
Total Submitted Charge Amount |
307755.16 |
Total Medicare Allowed Amount |
82126.71 |
Total Medicare Payment Amount |
62924.33 |
Total Medicare Standardized Payment Amount |
71959.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1397 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
14725.42 |
Total Drug Medicare AllowedAmount |
1272.76 |
Total Drug Medicare PaymentAmount |
997.41 |
Total Drug Medicare Standardized Payment Amount |
997.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2172 |
Number Of Medicare Beneficiaries With Medical Services |
58 |
Total Medical Submitted Charge Amount |
293029.74 |
Total Medical Medicare Allowed Amount |
80853.95 |
Total Medical Medicare Payment Amount |
61926.92 |
Total Medical Medicare Standardized Payment Amount |
70962.2 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
44 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
31 |
Number Of Male Beneficiaries |
27 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
|
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6433 |