National Provider Identifier [NPI]: |
1316903602 |
Last Name Of The Provider |
PRATT |
First Name Of The Provider |
JUDY |
Middle Initial Of The Provider |
L |
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 RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
HOT SPRINGS |
Zip Code Of The Provider |
719136912 |
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 |
132 |
Number Of Services |
6586 |
Number Of Medicare Beneficiaries |
992 |
Total Submitted Charge Amount |
360840 |
Total Medicare Allowed Amount |
178195.74 |
Total Medicare Payment Amount |
127592.84 |
Total Medicare Standardized Payment Amount |
163278.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
2404 |
Number Of Medicare Beneficiaries With Drug Services |
352 |
Total Drug Submitted ChargeAmount |
14578 |
Total Drug Medicare AllowedAmount |
6291.92 |
Total Drug Medicare PaymentAmount |
4632.06 |
Total Drug Medicare Standardized Payment Amount |
4632.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
115 |
Number Of Medical Services |
4182 |
Number Of Medicare Beneficiaries With Medical Services |
992 |
Total Medical Submitted Charge Amount |
346262 |
Total Medical Medicare Allowed Amount |
171903.82 |
Total Medical Medicare Payment Amount |
122960.78 |
Total Medical Medicare Standardized Payment Amount |
158645.99 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
340 |
Number Of Beneficiaries Age 75 to 84 |
402 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
645 |
Number Of Male Beneficiaries |
347 |
Number Of Non Hispanic White Beneficiaries |
945 |
Number Of Black or African American Beneficiaries |
36 |
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 |
891 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.2641 |