National Provider Identifier [NPI]: |
1952357154 |
Last Name Of The Provider |
HERNANDEZ |
First Name Of The Provider |
CINDY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
APMHNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5000 HIGHWAY 39 N |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
MERIDIAN |
Zip Code Of The Provider |
393011021 |
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 |
8 |
Number Of Services |
2632 |
Number Of Medicare Beneficiaries |
733 |
Total Submitted Charge Amount |
315575.83 |
Total Medicare Allowed Amount |
136232.2 |
Total Medicare Payment Amount |
105156.75 |
Total Medicare Standardized Payment Amount |
131599.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
2632 |
Number Of Medicare Beneficiaries With Medical Services |
733 |
Total Medical Submitted Charge Amount |
315575.83 |
Total Medical Medicare Allowed Amount |
136232.2 |
Total Medical Medicare Payment Amount |
105156.75 |
Total Medical Medicare Standardized Payment Amount |
131599.93 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
218 |
Number Of Beneficiaries Age Greater 84 |
231 |
Number Of Female Beneficiaries |
473 |
Number Of Male Beneficiaries |
260 |
Number Of Non Hispanic White Beneficiaries |
447 |
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 |
99 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
634 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
71 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
73 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
33 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.2111 |