National Provider Identifier [NPI]: |
1104247386 |
Last Name Of The Provider |
AUSTIN |
First Name Of The Provider |
NATALIE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 MADISON ST |
Street Address 2 Of The Provider |
APT. 152 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372081621 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
13 |
Number Of Services |
59 |
Number Of Medicare Beneficiaries |
30 |
Total Submitted Charge Amount |
2177.77 |
Total Medicare Allowed Amount |
1691.16 |
Total Medicare Payment Amount |
1575.27 |
Total Medicare Standardized Payment Amount |
1895.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
1078.77 |
Total Drug Medicare AllowedAmount |
866.49 |
Total Drug Medicare PaymentAmount |
849.12 |
Total Drug Medicare Standardized Payment Amount |
849.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
9 |
Number Of Medical Services |
36 |
Number Of Medicare Beneficiaries With Medical Services |
30 |
Total Medical Submitted Charge Amount |
1099 |
Total Medical Medicare Allowed Amount |
824.67 |
Total Medical Medicare Payment Amount |
726.15 |
Total Medical Medicare Standardized Payment Amount |
1046.86 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
19 |
Number Of Male Beneficiaries |
11 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
0 |
Percent Of With Alzheimers Disease or Dementia |
0 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
0 |
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
|
Percent Of With Diabetes |
|
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
|
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
|
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
0 |
Average HCC Risk Score Of Beneficiaries |
0.6252 |