National Provider Identifier [NPI]: |
1003109661 |
Last Name Of The Provider |
ARMSTRONG |
First Name Of The Provider |
SANDRA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
RN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
730 MALABAR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MALABAR |
Zip Code Of The Provider |
329503140 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
2814 |
Number Of Medicare Beneficiaries |
350 |
Total Submitted Charge Amount |
277301.86 |
Total Medicare Allowed Amount |
119795.75 |
Total Medicare Payment Amount |
91386.78 |
Total Medicare Standardized Payment Amount |
106142.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
398 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
10141 |
Total Drug Medicare AllowedAmount |
5218.58 |
Total Drug Medicare PaymentAmount |
4383.85 |
Total Drug Medicare Standardized Payment Amount |
4383.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
2416 |
Number Of Medicare Beneficiaries With Medical Services |
350 |
Total Medical Submitted Charge Amount |
267160.86 |
Total Medical Medicare Allowed Amount |
114577.17 |
Total Medical Medicare Payment Amount |
87002.93 |
Total Medical Medicare Standardized Payment Amount |
101758.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
228 |
Number Of Male Beneficiaries |
122 |
Number Of Non Hispanic White Beneficiaries |
312 |
Number Of Black or African American Beneficiaries |
16 |
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 |
302 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.242 |