National Provider Identifier [NPI]: |
1720324486 |
Last Name Of The Provider |
PASKIET |
First Name Of The Provider |
COURTNEY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
A.R.N.P |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
401 W NORTH BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347485044 |
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 |
102 |
Number Of Services |
3307 |
Number Of Medicare Beneficiaries |
530 |
Total Submitted Charge Amount |
201497.15 |
Total Medicare Allowed Amount |
125135.97 |
Total Medicare Payment Amount |
95755.3 |
Total Medicare Standardized Payment Amount |
109676.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
1310 |
Number Of Medicare Beneficiaries With Drug Services |
141 |
Total Drug Submitted ChargeAmount |
31086.92 |
Total Drug Medicare AllowedAmount |
24509.85 |
Total Drug Medicare PaymentAmount |
19583.38 |
Total Drug Medicare Standardized Payment Amount |
19583.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
1997 |
Number Of Medicare Beneficiaries With Medical Services |
530 |
Total Medical Submitted Charge Amount |
170410.23 |
Total Medical Medicare Allowed Amount |
100626.12 |
Total Medical Medicare Payment Amount |
76171.92 |
Total Medical Medicare Standardized Payment Amount |
90093.08 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
235 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
297 |
Number Of Male Beneficiaries |
233 |
Number Of Non Hispanic White Beneficiaries |
480 |
Number Of Black or African American Beneficiaries |
23 |
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 |
491 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.516 |