National Provider Identifier [NPI]: |
1043287139 |
Last Name Of The Provider |
SAUNDERS |
First Name Of The Provider |
SYLVIA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
RN MSN FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
743 HORIZON CT |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
GRAND JUNCTION |
Zip Code Of The Provider |
815068701 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
749 |
Number Of Medicare Beneficiaries |
187 |
Total Submitted Charge Amount |
73361 |
Total Medicare Allowed Amount |
31611.92 |
Total Medicare Payment Amount |
22643.11 |
Total Medicare Standardized Payment Amount |
26790.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
190 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
3056 |
Total Drug Medicare AllowedAmount |
2554.24 |
Total Drug Medicare PaymentAmount |
2117.35 |
Total Drug Medicare Standardized Payment Amount |
2117.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
559 |
Number Of Medicare Beneficiaries With Medical Services |
187 |
Total Medical Submitted Charge Amount |
70305 |
Total Medical Medicare Allowed Amount |
29057.68 |
Total Medical Medicare Payment Amount |
20525.76 |
Total Medical Medicare Standardized Payment Amount |
24673.2 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
55 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
133 |
Number Of Male Beneficiaries |
54 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
162 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
6 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9096 |