National Provider Identifier [NPI]: |
1578599395 |
Last Name Of The Provider |
CUMMINGS |
First Name Of The Provider |
BETSY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
CFNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1502 S COLORADO ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENVILLE |
Zip Code Of The Provider |
387037219 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
4852 |
Number Of Medicare Beneficiaries |
635 |
Total Submitted Charge Amount |
386850 |
Total Medicare Allowed Amount |
158357.46 |
Total Medicare Payment Amount |
117146.95 |
Total Medicare Standardized Payment Amount |
144727.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
815 |
Total Drug Medicare AllowedAmount |
426.2 |
Total Drug Medicare PaymentAmount |
417.7 |
Total Drug Medicare Standardized Payment Amount |
417.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
4821 |
Number Of Medicare Beneficiaries With Medical Services |
635 |
Total Medical Submitted Charge Amount |
386035 |
Total Medical Medicare Allowed Amount |
157931.26 |
Total Medical Medicare Payment Amount |
116729.25 |
Total Medical Medicare Standardized Payment Amount |
144310 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
189 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
317 |
Number Of Male Beneficiaries |
318 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
406 |
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 |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
293 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6672 |