National Provider Identifier [NPI]: |
1972510303 |
Last Name Of The Provider |
BAYLES |
First Name Of The Provider |
ANITA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
APRN-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2175 CHAMBLISS AVE NW |
Street Address 2 Of The Provider |
SUITE D |
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
373113842 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
75633 |
Number Of Medicare Beneficiaries |
457 |
Total Submitted Charge Amount |
5364805.96 |
Total Medicare Allowed Amount |
1548769.24 |
Total Medicare Payment Amount |
1436840.2 |
Total Medicare Standardized Payment Amount |
1235348.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
24487 |
Number Of Medicare Beneficiaries With Drug Services |
238 |
Total Drug Submitted ChargeAmount |
301674 |
Total Drug Medicare AllowedAmount |
98015.46 |
Total Drug Medicare PaymentAmount |
75103.08 |
Total Drug Medicare Standardized Payment Amount |
75103.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
51146 |
Number Of Medicare Beneficiaries With Medical Services |
457 |
Total Medical Submitted Charge Amount |
5063131.96 |
Total Medical Medicare Allowed Amount |
1450753.78 |
Total Medical Medicare Payment Amount |
1361737.12 |
Total Medical Medicare Standardized Payment Amount |
1160245.62 |
Average Age Of Beneficiaries |
54 |
Number Of Beneficiaries Age Less65 |
358 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
240 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
405 |
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 |
144 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
313 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
3 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4849 |