National Provider Identifier [NPI]: |
1548607088 |
Last Name Of The Provider |
OLIVA |
First Name Of The Provider |
CHRISTINA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2437 E FORT KING ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344712558 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
565 |
Number Of Medicare Beneficiaries |
158 |
Total Submitted Charge Amount |
51228 |
Total Medicare Allowed Amount |
31274.61 |
Total Medicare Payment Amount |
23373.62 |
Total Medicare Standardized Payment Amount |
27499.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
841 |
Total Drug Medicare AllowedAmount |
472.27 |
Total Drug Medicare PaymentAmount |
454.69 |
Total Drug Medicare Standardized Payment Amount |
454.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
547 |
Number Of Medicare Beneficiaries With Medical Services |
158 |
Total Medical Submitted Charge Amount |
50387 |
Total Medical Medicare Allowed Amount |
30802.34 |
Total Medical Medicare Payment Amount |
22918.93 |
Total Medical Medicare Standardized Payment Amount |
27044.35 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
61 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
104 |
Number Of Male Beneficiaries |
54 |
Number Of Non Hispanic White Beneficiaries |
144 |
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 |
107 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4888 |