National Provider Identifier [NPI]: |
1336335876 |
Last Name Of The Provider |
SPEARS |
First Name Of The Provider |
MEGAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
ANP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2025 N 3RD ST |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850041471 |
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 |
33 |
Number Of Services |
3238 |
Number Of Medicare Beneficiaries |
701 |
Total Submitted Charge Amount |
770931 |
Total Medicare Allowed Amount |
356054.78 |
Total Medicare Payment Amount |
270794.5 |
Total Medicare Standardized Payment Amount |
321974.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
585 |
Total Drug Medicare AllowedAmount |
128.7 |
Total Drug Medicare PaymentAmount |
126.15 |
Total Drug Medicare Standardized Payment Amount |
126.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3223 |
Number Of Medicare Beneficiaries With Medical Services |
701 |
Total Medical Submitted Charge Amount |
770346 |
Total Medical Medicare Allowed Amount |
355926.08 |
Total Medical Medicare Payment Amount |
270668.35 |
Total Medical Medicare Standardized Payment Amount |
321848.37 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
291 |
Number Of Female Beneficiaries |
445 |
Number Of Male Beneficiaries |
256 |
Number Of Non Hispanic White Beneficiaries |
606 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
495 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
53 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1304 |