National Provider Identifier [NPI]: |
1992775878 |
Last Name Of The Provider |
WILHITE |
First Name Of The Provider |
DEBRA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
APN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
639 BROADMOOR CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNTAIN HOME |
Zip Code Of The Provider |
726532901 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
2841 |
Number Of Medicare Beneficiaries |
460 |
Total Submitted Charge Amount |
127289 |
Total Medicare Allowed Amount |
57709.6 |
Total Medicare Payment Amount |
40066.9 |
Total Medicare Standardized Payment Amount |
47814.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1932 |
Number Of Medicare Beneficiaries With Drug Services |
163 |
Total Drug Submitted ChargeAmount |
35071 |
Total Drug Medicare AllowedAmount |
20414.17 |
Total Drug Medicare PaymentAmount |
15631.13 |
Total Drug Medicare Standardized Payment Amount |
15631.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
909 |
Number Of Medicare Beneficiaries With Medical Services |
460 |
Total Medical Submitted Charge Amount |
92218 |
Total Medical Medicare Allowed Amount |
37295.43 |
Total Medical Medicare Payment Amount |
24435.77 |
Total Medical Medicare Standardized Payment Amount |
32183.46 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
314 |
Number Of Male Beneficiaries |
146 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
358 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2635 |