National Provider Identifier [NPI]: |
1659337095 |
Last Name Of The Provider |
KERR |
First Name Of The Provider |
JANICE |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
APRN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1662 HIGDON FERRY ROAD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
HOT SPRINGS |
Zip Code Of The Provider |
71913 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
5952 |
Number Of Medicare Beneficiaries |
993 |
Total Submitted Charge Amount |
330496 |
Total Medicare Allowed Amount |
167441.87 |
Total Medicare Payment Amount |
117998.18 |
Total Medicare Standardized Payment Amount |
150415.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1889 |
Number Of Medicare Beneficiaries With Drug Services |
271 |
Total Drug Submitted ChargeAmount |
12363 |
Total Drug Medicare AllowedAmount |
7572.89 |
Total Drug Medicare PaymentAmount |
6374.32 |
Total Drug Medicare Standardized Payment Amount |
6374.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
4063 |
Number Of Medicare Beneficiaries With Medical Services |
992 |
Total Medical Submitted Charge Amount |
318133 |
Total Medical Medicare Allowed Amount |
159868.98 |
Total Medical Medicare Payment Amount |
111623.86 |
Total Medical Medicare Standardized Payment Amount |
144041.44 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
383 |
Number Of Beneficiaries Age 75 to 84 |
387 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
576 |
Number Of Male Beneficiaries |
417 |
Number Of Non Hispanic White Beneficiaries |
975 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
971 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.0119 |