National Provider Identifier [NPI]: |
1073860466 |
Last Name Of The Provider |
NWACHUKWU |
First Name Of The Provider |
JOSEPHINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
GNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8601 VETERANS HWY |
Street Address 2 Of The Provider |
SUITE 211 |
City Of The Provider |
MILLERSVILLE |
Zip Code Of The Provider |
211081547 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
1605 |
Number Of Medicare Beneficiaries |
606 |
Total Submitted Charge Amount |
253274 |
Total Medicare Allowed Amount |
107961.91 |
Total Medicare Payment Amount |
81759.21 |
Total Medicare Standardized Payment Amount |
90825.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
34 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
2371 |
Total Drug Medicare AllowedAmount |
1348.49 |
Total Drug Medicare PaymentAmount |
1321.03 |
Total Drug Medicare Standardized Payment Amount |
1321.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1571 |
Number Of Medicare Beneficiaries With Medical Services |
606 |
Total Medical Submitted Charge Amount |
250903 |
Total Medical Medicare Allowed Amount |
106613.42 |
Total Medical Medicare Payment Amount |
80438.18 |
Total Medical Medicare Standardized Payment Amount |
89504.58 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
199 |
Number Of Female Beneficiaries |
405 |
Number Of Male Beneficiaries |
201 |
Number Of Non Hispanic White Beneficiaries |
529 |
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 |
491 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
41 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.2287 |