National Provider Identifier [NPI]: |
1619004744 |
Last Name Of The Provider |
MCGEE |
First Name Of The Provider |
DARIUS |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
30 CIRCLE J DR |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
LAUREL |
Zip Code Of The Provider |
394401980 |
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 |
23 |
Number Of Services |
5594 |
Number Of Medicare Beneficiaries |
1463 |
Total Submitted Charge Amount |
675800.49 |
Total Medicare Allowed Amount |
271830.25 |
Total Medicare Payment Amount |
185357.82 |
Total Medicare Standardized Payment Amount |
242892.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
93 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
1116 |
Total Drug Medicare AllowedAmount |
31.86 |
Total Drug Medicare PaymentAmount |
22.56 |
Total Drug Medicare Standardized Payment Amount |
22.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
5501 |
Number Of Medicare Beneficiaries With Medical Services |
1463 |
Total Medical Submitted Charge Amount |
674684.49 |
Total Medical Medicare Allowed Amount |
271798.39 |
Total Medical Medicare Payment Amount |
185335.26 |
Total Medical Medicare Standardized Payment Amount |
242869.92 |
Average Age Of Beneficiaries |
57 |
Number Of Beneficiaries Age Less65 |
1029 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
793 |
Number Of Male Beneficiaries |
670 |
Number Of Non Hispanic White Beneficiaries |
1002 |
Number Of Black or African American Beneficiaries |
435 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
505 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
958 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.277 |