National Provider Identifier [NPI]: |
1740579887 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
NELUM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MSN, APN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25 WOODBRIDGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOMERVILLE |
Zip Code Of The Provider |
380681242 |
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 |
11 |
Number Of Services |
29309 |
Number Of Medicare Beneficiaries |
78 |
Total Submitted Charge Amount |
103116 |
Total Medicare Allowed Amount |
35479.7 |
Total Medicare Payment Amount |
27430.25 |
Total Medicare Standardized Payment Amount |
27430.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
29060 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
69262 |
Total Drug Medicare AllowedAmount |
24494.75 |
Total Drug Medicare PaymentAmount |
18883.62 |
Total Drug Medicare Standardized Payment Amount |
18883.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
6 |
Number Of Medical Services |
249 |
Number Of Medicare Beneficiaries With Medical Services |
78 |
Total Medical Submitted Charge Amount |
33854 |
Total Medical Medicare Allowed Amount |
10984.95 |
Total Medical Medicare Payment Amount |
8546.63 |
Total Medical Medicare Standardized Payment Amount |
8546.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
37 |
Number Of Beneficiaries Age 75 to 84 |
17 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
39 |
Number Of Male Beneficiaries |
39 |
Number Of Non Hispanic White Beneficiaries |
67 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.7748 |