National Provider Identifier [NPI]: |
1669582573 |
Last Name Of The Provider |
PIERCE |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
813 COVE PKWY |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
COTTONWOOD |
Zip Code Of The Provider |
863264663 |
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 |
61 |
Number Of Services |
4676 |
Number Of Medicare Beneficiaries |
360 |
Total Submitted Charge Amount |
321363.66 |
Total Medicare Allowed Amount |
204057.69 |
Total Medicare Payment Amount |
151212.25 |
Total Medicare Standardized Payment Amount |
178194.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
166 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
3744 |
Total Drug Medicare AllowedAmount |
650.34 |
Total Drug Medicare PaymentAmount |
575.67 |
Total Drug Medicare Standardized Payment Amount |
575.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
4510 |
Number Of Medicare Beneficiaries With Medical Services |
360 |
Total Medical Submitted Charge Amount |
317619.66 |
Total Medical Medicare Allowed Amount |
203407.35 |
Total Medical Medicare Payment Amount |
150636.58 |
Total Medical Medicare Standardized Payment Amount |
177619.06 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
214 |
Number Of Male Beneficiaries |
146 |
Number Of Non Hispanic White Beneficiaries |
343 |
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 |
325 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1081 |