National Provider Identifier [NPI]: |
1225258130 |
Last Name Of The Provider |
CHENG |
First Name Of The Provider |
MELISSA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MSN, FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
71 MEDICAL LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
WHITLEY CITY |
Zip Code Of The Provider |
426534216 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1306 |
Number Of Medicare Beneficiaries |
298 |
Total Submitted Charge Amount |
93649.4 |
Total Medicare Allowed Amount |
34020.84 |
Total Medicare Payment Amount |
24495.27 |
Total Medicare Standardized Payment Amount |
31952.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
707 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
6857 |
Total Drug Medicare AllowedAmount |
268.68 |
Total Drug Medicare PaymentAmount |
193.89 |
Total Drug Medicare Standardized Payment Amount |
193.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
599 |
Number Of Medicare Beneficiaries With Medical Services |
298 |
Total Medical Submitted Charge Amount |
86792.4 |
Total Medical Medicare Allowed Amount |
33752.16 |
Total Medical Medicare Payment Amount |
24301.38 |
Total Medical Medicare Standardized Payment Amount |
31758.43 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
148 |
Number Of Male Beneficiaries |
150 |
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 |
184 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1632 |