National Provider Identifier [NPI]: |
1336111640 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
BYRON |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
RN, FNP-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
151 COUNTRY LANE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LUMBERTON |
Zip Code Of The Provider |
776576803 |
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 |
51 |
Number Of Services |
1377 |
Number Of Medicare Beneficiaries |
221 |
Total Submitted Charge Amount |
89356 |
Total Medicare Allowed Amount |
27855.36 |
Total Medicare Payment Amount |
21877.05 |
Total Medicare Standardized Payment Amount |
26481.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
787 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
15427 |
Total Drug Medicare AllowedAmount |
2323.19 |
Total Drug Medicare PaymentAmount |
2142.91 |
Total Drug Medicare Standardized Payment Amount |
2142.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
590 |
Number Of Medicare Beneficiaries With Medical Services |
221 |
Total Medical Submitted Charge Amount |
73929 |
Total Medical Medicare Allowed Amount |
25532.17 |
Total Medical Medicare Payment Amount |
19734.14 |
Total Medical Medicare Standardized Payment Amount |
24338.22 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
87 |
Number Of Non Hispanic White Beneficiaries |
208 |
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 |
203 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1456 |