National Provider Identifier [NPI]: |
1225023781 |
Last Name Of The Provider |
RODEN |
First Name Of The Provider |
KAREN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 N WEISGARBER RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379092706 |
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 |
27 |
Number Of Services |
9527 |
Number Of Medicare Beneficiaries |
313 |
Total Submitted Charge Amount |
348319.52 |
Total Medicare Allowed Amount |
229534.76 |
Total Medicare Payment Amount |
177883.95 |
Total Medicare Standardized Payment Amount |
184203.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
7112 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
259940.52 |
Total Drug Medicare AllowedAmount |
189499.73 |
Total Drug Medicare PaymentAmount |
148618.43 |
Total Drug Medicare Standardized Payment Amount |
148618.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
2415 |
Number Of Medicare Beneficiaries With Medical Services |
313 |
Total Medical Submitted Charge Amount |
88379 |
Total Medical Medicare Allowed Amount |
40035.03 |
Total Medical Medicare Payment Amount |
29265.52 |
Total Medical Medicare Standardized Payment Amount |
35585.53 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
190 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
207 |
Number Of Male Beneficiaries |
106 |
Number Of Non Hispanic White Beneficiaries |
292 |
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 |
285 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
30 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8178 |