National Provider Identifier [NPI]: |
1801954003 |
Last Name Of The Provider |
GREGORY |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
A.R.N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
825 SE BISHOP BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
PULLMAN |
Zip Code Of The Provider |
991635517 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
3572 |
Number Of Medicare Beneficiaries |
370 |
Total Submitted Charge Amount |
219890.98 |
Total Medicare Allowed Amount |
105957.13 |
Total Medicare Payment Amount |
78231.04 |
Total Medicare Standardized Payment Amount |
90212.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
139 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
3072 |
Total Drug Medicare AllowedAmount |
1924.77 |
Total Drug Medicare PaymentAmount |
1874.66 |
Total Drug Medicare Standardized Payment Amount |
1874.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
3433 |
Number Of Medicare Beneficiaries With Medical Services |
370 |
Total Medical Submitted Charge Amount |
216818.98 |
Total Medical Medicare Allowed Amount |
104032.36 |
Total Medical Medicare Payment Amount |
76356.38 |
Total Medical Medicare Standardized Payment Amount |
88337.52 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
183 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
246 |
Number Of Male Beneficiaries |
124 |
Number Of Non Hispanic White Beneficiaries |
351 |
Number Of Black or African American Beneficiaries |
0 |
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 |
318 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
26 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8534 |