National Provider Identifier [NPI]: |
1821140591 |
Last Name Of The Provider |
WINTHER |
First Name Of The Provider |
KRISTEN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MSN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 S MCCLELLAN ST |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
SPOKANE |
Zip Code Of The Provider |
992042457 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
1339 |
Number Of Medicare Beneficiaries |
321 |
Total Submitted Charge Amount |
155285.67 |
Total Medicare Allowed Amount |
54564.73 |
Total Medicare Payment Amount |
40044.92 |
Total Medicare Standardized Payment Amount |
46640.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
35 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
1331.15 |
Total Drug Medicare AllowedAmount |
704.88 |
Total Drug Medicare PaymentAmount |
686.02 |
Total Drug Medicare Standardized Payment Amount |
686.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
1304 |
Number Of Medicare Beneficiaries With Medical Services |
321 |
Total Medical Submitted Charge Amount |
153954.52 |
Total Medical Medicare Allowed Amount |
53859.85 |
Total Medical Medicare Payment Amount |
39358.9 |
Total Medical Medicare Standardized Payment Amount |
45954.53 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
125 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
217 |
Number Of Male Beneficiaries |
104 |
Number Of Non Hispanic White Beneficiaries |
301 |
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 |
259 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1515 |