National Provider Identifier [NPI]: |
1841287612 |
Last Name Of The Provider |
BELL |
First Name Of The Provider |
JOANN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
APRN-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
160 CENTRAL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TRION |
Zip Code Of The Provider |
307531125 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
1255.5 |
Number Of Medicare Beneficiaries |
267 |
Total Submitted Charge Amount |
124421.5 |
Total Medicare Allowed Amount |
48854.75 |
Total Medicare Payment Amount |
33063.84 |
Total Medicare Standardized Payment Amount |
42332.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
384.5 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
3653.5 |
Total Drug Medicare AllowedAmount |
1029.15 |
Total Drug Medicare PaymentAmount |
806.67 |
Total Drug Medicare Standardized Payment Amount |
806.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
871 |
Number Of Medicare Beneficiaries With Medical Services |
267 |
Total Medical Submitted Charge Amount |
120768 |
Total Medical Medicare Allowed Amount |
47825.6 |
Total Medical Medicare Payment Amount |
32257.17 |
Total Medical Medicare Standardized Payment Amount |
41525.61 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
57 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
148 |
Number Of Male Beneficiaries |
119 |
Number Of Non Hispanic White Beneficiaries |
245 |
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 |
140 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4021 |