National Provider Identifier [NPI]: |
1821395377 |
Last Name Of The Provider |
LEDLOW |
First Name Of The Provider |
NATASHIA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2400 AVALON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MUSCLE SHOALS |
Zip Code Of The Provider |
356613164 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
629 |
Number Of Medicare Beneficiaries |
205 |
Total Submitted Charge Amount |
93141 |
Total Medicare Allowed Amount |
21420.48 |
Total Medicare Payment Amount |
15832.64 |
Total Medicare Standardized Payment Amount |
19779.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
140 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
2155 |
Total Drug Medicare AllowedAmount |
308.39 |
Total Drug Medicare PaymentAmount |
217.27 |
Total Drug Medicare Standardized Payment Amount |
217.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
489 |
Number Of Medicare Beneficiaries With Medical Services |
205 |
Total Medical Submitted Charge Amount |
90986 |
Total Medical Medicare Allowed Amount |
21112.09 |
Total Medical Medicare Payment Amount |
15615.37 |
Total Medical Medicare Standardized Payment Amount |
19562.28 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
65 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
122 |
Number Of Male Beneficiaries |
83 |
Number Of Non Hispanic White Beneficiaries |
170 |
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 |
137 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1457 |