National Provider Identifier [NPI]: |
1285676080 |
Last Name Of The Provider |
COLE |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4230 HARDING RD |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372052013 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
698 |
Number Of Medicare Beneficiaries |
236 |
Total Submitted Charge Amount |
107525 |
Total Medicare Allowed Amount |
48894.25 |
Total Medicare Payment Amount |
33513.63 |
Total Medicare Standardized Payment Amount |
44944.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
29 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
1090 |
Total Drug Medicare AllowedAmount |
160.65 |
Total Drug Medicare PaymentAmount |
104.53 |
Total Drug Medicare Standardized Payment Amount |
104.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
669 |
Number Of Medicare Beneficiaries With Medical Services |
236 |
Total Medical Submitted Charge Amount |
106435 |
Total Medical Medicare Allowed Amount |
48733.6 |
Total Medical Medicare Payment Amount |
33409.1 |
Total Medical Medicare Standardized Payment Amount |
44840.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
122 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
144 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
197 |
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 |
222 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.002 |