National Provider Identifier [NPI]: |
1457350381 |
Last Name Of The Provider |
MONZYK |
First Name Of The Provider |
DEBORAH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MSN, RN, BC, FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
901 PATIENTS FIRST DR |
Street Address 2 Of The Provider |
SUITE 1200 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
630904700 |
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 |
14 |
Number Of Services |
103 |
Number Of Medicare Beneficiaries |
58 |
Total Submitted Charge Amount |
3303.62 |
Total Medicare Allowed Amount |
2788.14 |
Total Medicare Payment Amount |
2078.01 |
Total Medicare Standardized Payment Amount |
2803.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
800.62 |
Total Drug Medicare AllowedAmount |
602.45 |
Total Drug Medicare PaymentAmount |
590.41 |
Total Drug Medicare Standardized Payment Amount |
590.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
65 |
Number Of Medicare Beneficiaries With Medical Services |
57 |
Total Medical Submitted Charge Amount |
2503 |
Total Medical Medicare Allowed Amount |
2185.69 |
Total Medical Medicare Payment Amount |
1487.6 |
Total Medical Medicare Standardized Payment Amount |
2212.68 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
28 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
33 |
Number Of Male Beneficiaries |
25 |
Number Of Non Hispanic White Beneficiaries |
58 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
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 |
19 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8299 |