National Provider Identifier [NPI]: |
1821095753 |
Last Name Of The Provider |
HAMILTON |
First Name Of The Provider |
PAULA |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
C.R.N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
785 5TH AVE |
Street Address 2 Of The Provider |
SUITE 3 |
City Of The Provider |
CHAMBERSBURG |
Zip Code Of The Provider |
172014232 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
678 |
Number Of Medicare Beneficiaries |
275 |
Total Submitted Charge Amount |
75020 |
Total Medicare Allowed Amount |
41426.4 |
Total Medicare Payment Amount |
29685.59 |
Total Medicare Standardized Payment Amount |
37316.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
47 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
1790 |
Total Drug Medicare AllowedAmount |
1416.6 |
Total Drug Medicare PaymentAmount |
1270.03 |
Total Drug Medicare Standardized Payment Amount |
1270.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
631 |
Number Of Medicare Beneficiaries With Medical Services |
275 |
Total Medical Submitted Charge Amount |
73230 |
Total Medical Medicare Allowed Amount |
40009.8 |
Total Medical Medicare Payment Amount |
28415.56 |
Total Medical Medicare Standardized Payment Amount |
36046.84 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
192 |
Number Of Male Beneficiaries |
83 |
Number Of Non Hispanic White Beneficiaries |
263 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
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 |
173 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1771 |