National Provider Identifier [NPI]: |
1477521326 |
Last Name Of The Provider |
NOCHTA |
First Name Of The Provider |
GENE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3101 RICHMOND ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405091599 |
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 |
34 |
Number Of Services |
2595 |
Number Of Medicare Beneficiaries |
245 |
Total Submitted Charge Amount |
193215.5 |
Total Medicare Allowed Amount |
79922.34 |
Total Medicare Payment Amount |
55129.88 |
Total Medicare Standardized Payment Amount |
71545.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
440 |
Number Of Medicare Beneficiaries With Drug Services |
221 |
Total Drug Submitted ChargeAmount |
12562.5 |
Total Drug Medicare AllowedAmount |
4519.44 |
Total Drug Medicare PaymentAmount |
4295.64 |
Total Drug Medicare Standardized Payment Amount |
4295.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2155 |
Number Of Medicare Beneficiaries With Medical Services |
245 |
Total Medical Submitted Charge Amount |
180653 |
Total Medical Medicare Allowed Amount |
75402.9 |
Total Medical Medicare Payment Amount |
50834.24 |
Total Medical Medicare Standardized Payment Amount |
67249.54 |
Average Age Of Beneficiaries |
53 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
143 |
Number Of Male Beneficiaries |
102 |
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 |
109 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
29 |
Percent Of With Diabetes |
9 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
24 |
Percent Of With Ischemic Heart Disease |
6 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
12 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6821 |