Medicare Facts for Toby R. England, NP


National Provider Identifier [NPI]: 1548211410
Last Name Of The Provider ENGLAND
First Name Of The Provider TOBY
Middle Initial Of The Provider R
Credentials Of The Provider NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1301 N RACE ST
Street Address 2 Of The Provider
City Of The Provider GLASGOW
Zip Code Of The Provider 421413454
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 31
Number Of Services 420
Number Of Medicare Beneficiaries 153
Total Submitted Charge Amount 109558
Total Medicare Allowed Amount 16809.2
Total Medicare Payment Amount 12198.06
Total Medicare Standardized Payment Amount 15154.78
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 204
Number Of Medicare Beneficiaries With Drug Services 22
Total Drug Submitted ChargeAmount 2040
Total Drug Medicare AllowedAmount 255.3
Total Drug Medicare PaymentAmount 140.45
Total Drug Medicare Standardized Payment Amount 140.45
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 216
Number Of Medicare Beneficiaries With Medical Services 153
Total Medical Submitted Charge Amount 107518
Total Medical Medicare Allowed Amount 16553.9
Total Medical Medicare Payment Amount 12057.61
Total Medical Medicare Standardized Payment Amount 15014.33
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 70
Number Of Beneficiaries Age 65 to 74 35
Number Of Beneficiaries Age 75 to 84 30
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 109
Number Of Male Beneficiaries 44
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 64
Number Of Beneficiaries With Medicare Medicaid Entitlement 89
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 8
Percent Of With Cancer
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 24
Percent Of With Depression 46
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3822

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