National Provider Identifier [NPI]: |
1306083423 |
Last Name Of The Provider |
MCGLOTHLIN |
First Name Of The Provider |
DENISE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
ARNP, FNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
60 WESTMINSTER ST N |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
LEHIGH ACRES |
Zip Code Of The Provider |
339366518 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
3493 |
Number Of Medicare Beneficiaries |
395 |
Total Submitted Charge Amount |
229051.76 |
Total Medicare Allowed Amount |
157454.09 |
Total Medicare Payment Amount |
121274.32 |
Total Medicare Standardized Payment Amount |
135425.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
102 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
3806 |
Total Drug Medicare AllowedAmount |
1730.36 |
Total Drug Medicare PaymentAmount |
1667.15 |
Total Drug Medicare Standardized Payment Amount |
1667.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
3391 |
Number Of Medicare Beneficiaries With Medical Services |
394 |
Total Medical Submitted Charge Amount |
225245.76 |
Total Medical Medicare Allowed Amount |
155723.73 |
Total Medical Medicare Payment Amount |
119607.17 |
Total Medical Medicare Standardized Payment Amount |
133757.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
275 |
Number Of Male Beneficiaries |
120 |
Number Of Non Hispanic White Beneficiaries |
339 |
Number Of Black or African American Beneficiaries |
29 |
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 |
295 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4035 |