National Provider Identifier [NPI]: |
1467633818 |
Last Name Of The Provider |
VOSS |
First Name Of The Provider |
ASHLEY |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3100 BLUE RIDGE RD |
Street Address 2 Of The Provider |
STE 103 |
City Of The Provider |
RALEIGH |
Zip Code Of The Provider |
276128036 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
457 |
Number Of Medicare Beneficiaries |
244 |
Total Submitted Charge Amount |
28284.84 |
Total Medicare Allowed Amount |
20534.57 |
Total Medicare Payment Amount |
12509.8 |
Total Medicare Standardized Payment Amount |
16437.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
252 |
Total Drug Medicare AllowedAmount |
150.04 |
Total Drug Medicare PaymentAmount |
67.36 |
Total Drug Medicare Standardized Payment Amount |
67.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
421 |
Number Of Medicare Beneficiaries With Medical Services |
244 |
Total Medical Submitted Charge Amount |
28032.84 |
Total Medical Medicare Allowed Amount |
20384.53 |
Total Medical Medicare Payment Amount |
12442.44 |
Total Medical Medicare Standardized Payment Amount |
16369.86 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
115 |
Number Of Beneficiaries Age 75 to 84 |
80 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
161 |
Number Of Male Beneficiaries |
83 |
Number Of Non Hispanic White Beneficiaries |
222 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9085 |