National Provider Identifier [NPI]: |
1306023197 |
Last Name Of The Provider |
ALBRITTON |
First Name Of The Provider |
COURTNEY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
FNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1301 CAMELLIA BLVD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
705087089 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
397 |
Number Of Medicare Beneficiaries |
50 |
Total Submitted Charge Amount |
48788.48 |
Total Medicare Allowed Amount |
16069.94 |
Total Medicare Payment Amount |
11619.6 |
Total Medicare Standardized Payment Amount |
13630.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
220 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
20454.72 |
Total Drug Medicare AllowedAmount |
6074.75 |
Total Drug Medicare PaymentAmount |
4608.64 |
Total Drug Medicare Standardized Payment Amount |
4608.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
177 |
Number Of Medicare Beneficiaries With Medical Services |
50 |
Total Medical Submitted Charge Amount |
28333.76 |
Total Medical Medicare Allowed Amount |
9995.19 |
Total Medical Medicare Payment Amount |
7010.96 |
Total Medical Medicare Standardized Payment Amount |
9021.78 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
27 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
29 |
Number Of Male Beneficiaries |
21 |
Number Of Non Hispanic White Beneficiaries |
36 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
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 |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
|
Percent Of With Diabetes |
|
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8665 |