National Provider Identifier [NPI]: |
1952685885 |
Last Name Of The Provider |
RORI |
First Name Of The Provider |
ANGELA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5875 N MAJOR DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEAUMONT |
Zip Code Of The Provider |
777139034 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
2296 |
Number Of Medicare Beneficiaries |
284 |
Total Submitted Charge Amount |
174519 |
Total Medicare Allowed Amount |
60432.32 |
Total Medicare Payment Amount |
39083.96 |
Total Medicare Standardized Payment Amount |
50226.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
703 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
11594 |
Total Drug Medicare AllowedAmount |
1488.2 |
Total Drug Medicare PaymentAmount |
1075.76 |
Total Drug Medicare Standardized Payment Amount |
1075.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
1593 |
Number Of Medicare Beneficiaries With Medical Services |
284 |
Total Medical Submitted Charge Amount |
162925 |
Total Medical Medicare Allowed Amount |
58944.12 |
Total Medical Medicare Payment Amount |
38008.2 |
Total Medical Medicare Standardized Payment Amount |
49150.88 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
192 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
242 |
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 |
253 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0949 |