National Provider Identifier [NPI]: |
1073769998 |
Last Name Of The Provider |
LYBARGER |
First Name Of The Provider |
HOLLY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
FNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7268 S SHAY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CONNERSVILLE |
Zip Code Of The Provider |
473319234 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
848 |
Number Of Medicare Beneficiaries |
417 |
Total Submitted Charge Amount |
46439 |
Total Medicare Allowed Amount |
20766.57 |
Total Medicare Payment Amount |
14841.34 |
Total Medicare Standardized Payment Amount |
17916.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
134 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
1796 |
Total Drug Medicare AllowedAmount |
452.94 |
Total Drug Medicare PaymentAmount |
369.75 |
Total Drug Medicare Standardized Payment Amount |
369.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
714 |
Number Of Medicare Beneficiaries With Medical Services |
417 |
Total Medical Submitted Charge Amount |
44643 |
Total Medical Medicare Allowed Amount |
20313.63 |
Total Medical Medicare Payment Amount |
14471.59 |
Total Medical Medicare Standardized Payment Amount |
17547.16 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
248 |
Number Of Male Beneficiaries |
169 |
Number Of Non Hispanic White Beneficiaries |
395 |
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 |
312 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
105 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0726 |