National Provider Identifier [NPI]: |
1417207879 |
Last Name Of The Provider |
TURNER |
First Name Of The Provider |
ANGELA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
NP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 N ZACK HINTON PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCDONOUGH |
Zip Code Of The Provider |
302532317 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
354 |
Number Of Medicare Beneficiaries |
200 |
Total Submitted Charge Amount |
17523.1 |
Total Medicare Allowed Amount |
15791.72 |
Total Medicare Payment Amount |
10580.65 |
Total Medicare Standardized Payment Amount |
12776.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
92 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
3129.1 |
Total Drug Medicare AllowedAmount |
3010.54 |
Total Drug Medicare PaymentAmount |
2919.55 |
Total Drug Medicare Standardized Payment Amount |
2919.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
262 |
Number Of Medicare Beneficiaries With Medical Services |
200 |
Total Medical Submitted Charge Amount |
14394 |
Total Medical Medicare Allowed Amount |
12781.18 |
Total Medical Medicare Payment Amount |
7661.1 |
Total Medical Medicare Standardized Payment Amount |
9856.59 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
47 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
131 |
Number Of Male Beneficiaries |
69 |
Number Of Non Hispanic White Beneficiaries |
119 |
Number Of Black or African American Beneficiaries |
65 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
154 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
21 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9475 |