National Provider Identifier [NPI]: |
1962710541 |
Last Name Of The Provider |
MULREANEY |
First Name Of The Provider |
DIANNE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
C.R.N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 PROSPECT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
READING |
Zip Code Of The Provider |
196062871 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
707 |
Number Of Medicare Beneficiaries |
295 |
Total Submitted Charge Amount |
121469.12 |
Total Medicare Allowed Amount |
49791.83 |
Total Medicare Payment Amount |
35256.8 |
Total Medicare Standardized Payment Amount |
45020.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
1241.12 |
Total Drug Medicare AllowedAmount |
609.62 |
Total Drug Medicare PaymentAmount |
590.92 |
Total Drug Medicare Standardized Payment Amount |
590.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
671 |
Number Of Medicare Beneficiaries With Medical Services |
294 |
Total Medical Submitted Charge Amount |
120228 |
Total Medical Medicare Allowed Amount |
49182.21 |
Total Medical Medicare Payment Amount |
34665.88 |
Total Medical Medicare Standardized Payment Amount |
44429.12 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
194 |
Number Of Male Beneficiaries |
101 |
Number Of Non Hispanic White Beneficiaries |
261 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
222 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5507 |