National Provider Identifier [NPI]: |
1700961885 |
Last Name Of The Provider |
ZIRKLE-YOSHIDA |
First Name Of The Provider |
MICHELLE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7600 OLD DOMINION CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
APTOS |
Zip Code Of The Provider |
950033821 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
731 |
Number Of Medicare Beneficiaries |
256 |
Total Submitted Charge Amount |
101965 |
Total Medicare Allowed Amount |
35260.33 |
Total Medicare Payment Amount |
23863.67 |
Total Medicare Standardized Payment Amount |
26918.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
236 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
3759 |
Total Drug Medicare AllowedAmount |
2841.81 |
Total Drug Medicare PaymentAmount |
2760.09 |
Total Drug Medicare Standardized Payment Amount |
2760.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
495 |
Number Of Medicare Beneficiaries With Medical Services |
256 |
Total Medical Submitted Charge Amount |
98206 |
Total Medical Medicare Allowed Amount |
32418.52 |
Total Medical Medicare Payment Amount |
21103.58 |
Total Medical Medicare Standardized Payment Amount |
24158.86 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
174 |
Number Of Male Beneficiaries |
82 |
Number Of Non Hispanic White Beneficiaries |
233 |
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 |
227 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
|
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
41 |
Percent Of With Ischemic Heart Disease |
14 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8529 |