National Provider Identifier [NPI]: |
1609198753 |
Last Name Of The Provider |
JOBE |
First Name Of The Provider |
SHERRY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
RN, MSN, ACNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2668 S HARPER RD STE 1 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORINTH |
Zip Code Of The Provider |
388346770 |
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 |
20 |
Number Of Services |
6561 |
Number Of Medicare Beneficiaries |
418 |
Total Submitted Charge Amount |
220873 |
Total Medicare Allowed Amount |
95674.67 |
Total Medicare Payment Amount |
76864.64 |
Total Medicare Standardized Payment Amount |
89057.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3917 |
Number Of Medicare Beneficiaries With Drug Services |
281 |
Total Drug Submitted ChargeAmount |
61160 |
Total Drug Medicare AllowedAmount |
922.33 |
Total Drug Medicare PaymentAmount |
705.9 |
Total Drug Medicare Standardized Payment Amount |
705.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
2644 |
Number Of Medicare Beneficiaries With Medical Services |
418 |
Total Medical Submitted Charge Amount |
159713 |
Total Medical Medicare Allowed Amount |
94752.34 |
Total Medical Medicare Payment Amount |
76158.74 |
Total Medical Medicare Standardized Payment Amount |
88351.74 |
Average Age Of Beneficiaries |
57 |
Number Of Beneficiaries Age Less65 |
293 |
Number Of Beneficiaries Age 65 to 74 |
91 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
238 |
Number Of Male Beneficiaries |
180 |
Number Of Non Hispanic White Beneficiaries |
363 |
Number Of Black or African American Beneficiaries |
|
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 |
137 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
281 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3206 |