National Provider Identifier [NPI]: |
1033360284 |
Last Name Of The Provider |
MARGUGLIO |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
ARNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1520 W 53RD ST STE 2 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DAVENPORT |
Zip Code Of The Provider |
528062459 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
1488 |
Number Of Medicare Beneficiaries |
660 |
Total Submitted Charge Amount |
154255 |
Total Medicare Allowed Amount |
57356.81 |
Total Medicare Payment Amount |
41466.8 |
Total Medicare Standardized Payment Amount |
53208.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
189 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
3668 |
Total Drug Medicare AllowedAmount |
458.33 |
Total Drug Medicare PaymentAmount |
342.23 |
Total Drug Medicare Standardized Payment Amount |
342.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
1299 |
Number Of Medicare Beneficiaries With Medical Services |
660 |
Total Medical Submitted Charge Amount |
150587 |
Total Medical Medicare Allowed Amount |
56898.48 |
Total Medical Medicare Payment Amount |
41124.57 |
Total Medical Medicare Standardized Payment Amount |
52866.66 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
149 |
Number Of Beneficiaries Age 65 to 74 |
272 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
417 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
632 |
Number Of Black or African American Beneficiaries |
13 |
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 |
498 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0271 |