National Provider Identifier [NPI]: |
1336474659 |
Last Name Of The Provider |
EASTER |
First Name Of The Provider |
DARLA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
NP-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3105 MCCLELLAND BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
JOPLIN |
Zip Code Of The Provider |
648041640 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
1151 |
Number Of Medicare Beneficiaries |
350 |
Total Submitted Charge Amount |
848658.83 |
Total Medicare Allowed Amount |
57824.36 |
Total Medicare Payment Amount |
44599.6 |
Total Medicare Standardized Payment Amount |
53046.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
493 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
14435 |
Total Drug Medicare AllowedAmount |
5803.39 |
Total Drug Medicare PaymentAmount |
4493.74 |
Total Drug Medicare Standardized Payment Amount |
4493.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
658 |
Number Of Medicare Beneficiaries With Medical Services |
350 |
Total Medical Submitted Charge Amount |
834223.83 |
Total Medical Medicare Allowed Amount |
52020.97 |
Total Medical Medicare Payment Amount |
40105.86 |
Total Medical Medicare Standardized Payment Amount |
48552.64 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
131 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
130 |
Number Of Non Hispanic White Beneficiaries |
333 |
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 |
266 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2592 |