National Provider Identifier [NPI]: |
1265445472 |
Last Name Of The Provider |
BUTLER |
First Name Of The Provider |
REBECCA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
CFNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2885 MCCULLOUGH BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELDEN |
Zip Code Of The Provider |
38826 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
992 |
Number Of Medicare Beneficiaries |
151 |
Total Submitted Charge Amount |
48024.05 |
Total Medicare Allowed Amount |
28262.88 |
Total Medicare Payment Amount |
17212.69 |
Total Medicare Standardized Payment Amount |
23535.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
288 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
3629.05 |
Total Drug Medicare AllowedAmount |
446.08 |
Total Drug Medicare PaymentAmount |
342.98 |
Total Drug Medicare Standardized Payment Amount |
342.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
704 |
Number Of Medicare Beneficiaries With Medical Services |
151 |
Total Medical Submitted Charge Amount |
44395 |
Total Medical Medicare Allowed Amount |
27816.8 |
Total Medical Medicare Payment Amount |
16869.71 |
Total Medical Medicare Standardized Payment Amount |
23192.37 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
68 |
Number Of Beneficiaries Age 75 to 84 |
27 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
85 |
Number Of Male Beneficiaries |
66 |
Number Of Non Hispanic White Beneficiaries |
140 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
108 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7363 |