National Provider Identifier [NPI]: |
1811301344 |
Last Name Of The Provider |
MCNEAL |
First Name Of The Provider |
MICHELLE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
78 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
ATTN: EMERGENCY DEPT |
City Of The Provider |
FISHERSVILLE |
Zip Code Of The Provider |
229392332 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
573 |
Number Of Medicare Beneficiaries |
350 |
Total Submitted Charge Amount |
22502 |
Total Medicare Allowed Amount |
16289.61 |
Total Medicare Payment Amount |
14256.58 |
Total Medicare Standardized Payment Amount |
15493.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
221 |
Number Of Medicare Beneficiaries With Drug Services |
221 |
Total Drug Submitted ChargeAmount |
4420 |
Total Drug Medicare AllowedAmount |
3973.58 |
Total Drug Medicare PaymentAmount |
3894.02 |
Total Drug Medicare Standardized Payment Amount |
3894.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
352 |
Number Of Medicare Beneficiaries With Medical Services |
350 |
Total Medical Submitted Charge Amount |
18082 |
Total Medical Medicare Allowed Amount |
12316.03 |
Total Medical Medicare Payment Amount |
10362.56 |
Total Medical Medicare Standardized Payment Amount |
11599.59 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
197 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
328 |
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 |
305 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7937 |