National Provider Identifier [NPI]: |
1043268535 |
Last Name Of The Provider |
SYMMES |
First Name Of The Provider |
MARY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2781 C T SWITZER SR DR |
Street Address 2 Of The Provider |
STE 402 |
City Of The Provider |
BILOXI |
Zip Code Of The Provider |
395314536 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
2488 |
Number Of Medicare Beneficiaries |
488 |
Total Submitted Charge Amount |
614360.2 |
Total Medicare Allowed Amount |
98531.01 |
Total Medicare Payment Amount |
68885.43 |
Total Medicare Standardized Payment Amount |
77997.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
674 |
Number Of Medicare Beneficiaries With Drug Services |
279 |
Total Drug Submitted ChargeAmount |
146703.2 |
Total Drug Medicare AllowedAmount |
28904.97 |
Total Drug Medicare PaymentAmount |
20120.61 |
Total Drug Medicare Standardized Payment Amount |
20120.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1814 |
Number Of Medicare Beneficiaries With Medical Services |
488 |
Total Medical Submitted Charge Amount |
467657 |
Total Medical Medicare Allowed Amount |
69626.04 |
Total Medical Medicare Payment Amount |
48764.82 |
Total Medical Medicare Standardized Payment Amount |
57876.93 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
173 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
447 |
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 |
439 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1284 |