| National Provider Identifier [NPI]: | 1053363986 |
| Last Name Of The Provider | CHILDRESS |
| First Name Of The Provider | RITA |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | FNPC |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 605 15 PINE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | HILLSVILLE |
| Zip Code Of The Provider | 24343 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Nurse Practitioner |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 16 |
| Number Of Services | 1621 |
| Number Of Medicare Beneficiaries | 800 |
| Total Submitted Charge Amount | 45789.73 |
| Total Medicare Allowed Amount | 37170.99 |
| Total Medicare Payment Amount | 36224.99 |
| Total Medicare Standardized Payment Amount | 37017.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 766 |
| Number Of Medicare Beneficiaries With Drug Services | 738 |
| Total Drug Submitted ChargeAmount | 24366.12 |
| Total Drug Medicare AllowedAmount | 16160.09 |
| Total Drug Medicare PaymentAmount | 15836.46 |
| Total Drug Medicare Standardized Payment Amount | 15836.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 11 |
| Number Of Medical Services | 855 |
| Number Of Medicare Beneficiaries With Medical Services | 796 |
| Total Medical Submitted Charge Amount | 21423.61 |
| Total Medical Medicare Allowed Amount | 21010.9 |
| Total Medical Medicare Payment Amount | 20388.53 |
| Total Medical Medicare Standardized Payment Amount | 21181.5 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 108 |
| Number Of Beneficiaries Age 65 to 74 | 337 |
| Number Of Beneficiaries Age 75 to 84 | 270 |
| Number Of Beneficiaries Age Greater 84 | 85 |
| Number Of Female Beneficiaries | 476 |
| Number Of Male Beneficiaries | 324 |
| Number Of Non Hispanic White Beneficiaries | 780 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 634 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 166 |
| Percent Of With Atrial Fibrillation | 6 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 9 |
| Percent Of With Chronic Kidney Disease | 13 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 24 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 27 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.863 |