National Provider Identifier [NPI]: |
1780706507 |
Last Name Of The Provider |
ALESSANDRO |
First Name Of The Provider |
VERONICA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
ARNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3055 CARING WAY |
Street Address 2 Of The Provider |
STE 1 |
City Of The Provider |
PORT CHARLOTTE |
Zip Code Of The Provider |
339525304 |
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 |
3780 |
Number Of Medicare Beneficiaries |
707 |
Total Submitted Charge Amount |
495333 |
Total Medicare Allowed Amount |
289041.65 |
Total Medicare Payment Amount |
219643.77 |
Total Medicare Standardized Payment Amount |
259526.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
420 |
Total Drug Medicare AllowedAmount |
184.8 |
Total Drug Medicare PaymentAmount |
181.08 |
Total Drug Medicare Standardized Payment Amount |
181.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
3768 |
Number Of Medicare Beneficiaries With Medical Services |
707 |
Total Medical Submitted Charge Amount |
494913 |
Total Medical Medicare Allowed Amount |
288856.85 |
Total Medical Medicare Payment Amount |
219462.69 |
Total Medical Medicare Standardized Payment Amount |
259345.55 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
291 |
Number Of Female Beneficiaries |
431 |
Number Of Male Beneficiaries |
276 |
Number Of Non Hispanic White Beneficiaries |
642 |
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 |
346 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
361 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
62 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
23 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.2961 |