National Provider Identifier [NPI]: |
1932215662 |
Last Name Of The Provider |
CAPPS |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8485 SE 165TH MULBERRY LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
THE VILLAGES |
Zip Code Of The Provider |
321625847 |
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 |
48 |
Number Of Services |
1124 |
Number Of Medicare Beneficiaries |
340 |
Total Submitted Charge Amount |
108245.1 |
Total Medicare Allowed Amount |
61083.16 |
Total Medicare Payment Amount |
47711.77 |
Total Medicare Standardized Payment Amount |
56407.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
116 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
1809.1 |
Total Drug Medicare AllowedAmount |
1212.11 |
Total Drug Medicare PaymentAmount |
1163.54 |
Total Drug Medicare Standardized Payment Amount |
1163.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1008 |
Number Of Medicare Beneficiaries With Medical Services |
340 |
Total Medical Submitted Charge Amount |
106436 |
Total Medical Medicare Allowed Amount |
59871.05 |
Total Medical Medicare Payment Amount |
46548.23 |
Total Medical Medicare Standardized Payment Amount |
55243.8 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
163 |
Number Of Male Beneficiaries |
177 |
Number Of Non Hispanic White Beneficiaries |
316 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
313 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1244 |