National Provider Identifier [NPI]: |
1063595916 |
Last Name Of The Provider |
AKERS |
First Name Of The Provider |
LAUREN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2209 E 32ND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TACOMA |
Zip Code Of The Provider |
984044922 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1000 |
Number Of Medicare Beneficiaries |
67 |
Total Submitted Charge Amount |
83252.96 |
Total Medicare Allowed Amount |
34927.46 |
Total Medicare Payment Amount |
24674.77 |
Total Medicare Standardized Payment Amount |
28662.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
657 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
8684.96 |
Total Drug Medicare AllowedAmount |
6207.19 |
Total Drug Medicare PaymentAmount |
5029.66 |
Total Drug Medicare Standardized Payment Amount |
5029.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
343 |
Number Of Medicare Beneficiaries With Medical Services |
67 |
Total Medical Submitted Charge Amount |
74568 |
Total Medical Medicare Allowed Amount |
28720.27 |
Total Medical Medicare Payment Amount |
19645.11 |
Total Medical Medicare Standardized Payment Amount |
23632.87 |
Average Age Of Beneficiaries |
52 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
11 |
Number Of Beneficiaries Age 75 to 84 |
0 |
Number Of Beneficiaries Age Greater 84 |
0 |
Number Of Female Beneficiaries |
44 |
Number Of Male Beneficiaries |
23 |
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 |
|
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 |
75 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
19 |
Percent Of With Hypertension |
36 |
Percent Of With Ischemic Heart Disease |
|
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
28 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2967 |