National Provider Identifier [NPI]: |
1184645061 |
Last Name Of The Provider |
REESE |
First Name Of The Provider |
SHERRY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
251 WESTPARK WAY STE 210 |
Street Address 2 Of The Provider |
|
City Of The Provider |
EULESS |
Zip Code Of The Provider |
760403742 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
3765 |
Number Of Medicare Beneficiaries |
658 |
Total Submitted Charge Amount |
494794 |
Total Medicare Allowed Amount |
291744.52 |
Total Medicare Payment Amount |
221902.14 |
Total Medicare Standardized Payment Amount |
259532.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
1715 |
Total Drug Medicare AllowedAmount |
780.77 |
Total Drug Medicare PaymentAmount |
763.94 |
Total Drug Medicare Standardized Payment Amount |
763.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
3727 |
Number Of Medicare Beneficiaries With Medical Services |
658 |
Total Medical Submitted Charge Amount |
493079 |
Total Medical Medicare Allowed Amount |
290963.75 |
Total Medical Medicare Payment Amount |
221138.2 |
Total Medical Medicare Standardized Payment Amount |
258768.53 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
104 |
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
315 |
Number Of Female Beneficiaries |
469 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
560 |
Number Of Black or African American Beneficiaries |
46 |
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 |
410 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
66 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
44 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.9516 |