National Provider Identifier [NPI]: |
1861729824 |
Last Name Of The Provider |
FERRARA |
First Name Of The Provider |
VALERIE |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1241 SE INDIAN ST |
Street Address 2 Of The Provider |
SUITE 112 |
City Of The Provider |
STUART |
Zip Code Of The Provider |
349975675 |
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 |
27 |
Number Of Services |
945 |
Number Of Medicare Beneficiaries |
514 |
Total Submitted Charge Amount |
134958.3 |
Total Medicare Allowed Amount |
94024.81 |
Total Medicare Payment Amount |
69135.84 |
Total Medicare Standardized Payment Amount |
78176.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
194.95 |
Total Drug Medicare AllowedAmount |
173.8 |
Total Drug Medicare PaymentAmount |
169.36 |
Total Drug Medicare Standardized Payment Amount |
169.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
932 |
Number Of Medicare Beneficiaries With Medical Services |
514 |
Total Medical Submitted Charge Amount |
134763.35 |
Total Medical Medicare Allowed Amount |
93851.01 |
Total Medical Medicare Payment Amount |
68966.48 |
Total Medical Medicare Standardized Payment Amount |
78007.42 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
107 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
440 |
Number Of Black or African American Beneficiaries |
43 |
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 |
295 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
219 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
62 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.761 |