National Provider Identifier [NPI]: |
1760402812 |
Last Name Of The Provider |
ZEHRINGER |
First Name Of The Provider |
ERIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
ACNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2510 COMMONS BLVD |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
BEAVERCREEK |
Zip Code Of The Provider |
454313820 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
750 |
Number Of Medicare Beneficiaries |
288 |
Total Submitted Charge Amount |
56994 |
Total Medicare Allowed Amount |
34571.14 |
Total Medicare Payment Amount |
25296.8 |
Total Medicare Standardized Payment Amount |
31741.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
109 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
2243 |
Total Drug Medicare AllowedAmount |
1106.61 |
Total Drug Medicare PaymentAmount |
932.29 |
Total Drug Medicare Standardized Payment Amount |
932.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
641 |
Number Of Medicare Beneficiaries With Medical Services |
288 |
Total Medical Submitted Charge Amount |
54751 |
Total Medical Medicare Allowed Amount |
33464.53 |
Total Medical Medicare Payment Amount |
24364.51 |
Total Medical Medicare Standardized Payment Amount |
30809.12 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
188 |
Number Of Male Beneficiaries |
100 |
Number Of Non Hispanic White Beneficiaries |
244 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
224 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1487 |