National Provider Identifier [NPI]: |
1730260027 |
Last Name Of The Provider |
SCHRECKENGOST |
First Name Of The Provider |
MELISSA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
APRN-CNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1324 N HARVILLE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUNCAN |
Zip Code Of The Provider |
735331514 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
1705 |
Number Of Medicare Beneficiaries |
233 |
Total Submitted Charge Amount |
81547 |
Total Medicare Allowed Amount |
47565.47 |
Total Medicare Payment Amount |
32208.23 |
Total Medicare Standardized Payment Amount |
41837.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
531 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
5569 |
Total Drug Medicare AllowedAmount |
3333.19 |
Total Drug Medicare PaymentAmount |
2860.24 |
Total Drug Medicare Standardized Payment Amount |
2860.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1174 |
Number Of Medicare Beneficiaries With Medical Services |
233 |
Total Medical Submitted Charge Amount |
75978 |
Total Medical Medicare Allowed Amount |
44232.28 |
Total Medical Medicare Payment Amount |
29347.99 |
Total Medical Medicare Standardized Payment Amount |
38977.75 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
87 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
172 |
Number Of Male Beneficiaries |
61 |
Number Of Non Hispanic White Beneficiaries |
218 |
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 |
173 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.014 |