National Provider Identifier [NPI]: |
1902163942 |
Last Name Of The Provider |
KRONE |
First Name Of The Provider |
DENISE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
FNP,BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11125 DUNN RD |
Street Address 2 Of The Provider |
STE 406 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631366132 |
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 |
28 |
Number Of Services |
607 |
Number Of Medicare Beneficiaries |
128 |
Total Submitted Charge Amount |
38693 |
Total Medicare Allowed Amount |
23466.02 |
Total Medicare Payment Amount |
17062.1 |
Total Medicare Standardized Payment Amount |
20187.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
265 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
6156 |
Total Drug Medicare AllowedAmount |
3984.62 |
Total Drug Medicare PaymentAmount |
3207.01 |
Total Drug Medicare Standardized Payment Amount |
3207.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
342 |
Number Of Medicare Beneficiaries With Medical Services |
128 |
Total Medical Submitted Charge Amount |
32537 |
Total Medical Medicare Allowed Amount |
19481.4 |
Total Medical Medicare Payment Amount |
13855.09 |
Total Medical Medicare Standardized Payment Amount |
16980.5 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
46 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
94 |
Number Of Male Beneficiaries |
34 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
67 |
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 |
72 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3436 |