National Provider Identifier [NPI]: |
1194722678 |
Last Name Of The Provider |
SCHIMKE |
First Name Of The Provider |
LEANNE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2106 HARRISBURG PIKE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176043200 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
15888 |
Number Of Medicare Beneficiaries |
619 |
Total Submitted Charge Amount |
1134423.5 |
Total Medicare Allowed Amount |
425772.98 |
Total Medicare Payment Amount |
319491.82 |
Total Medicare Standardized Payment Amount |
336923.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
13755.5 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
867773 |
Total Drug Medicare AllowedAmount |
335471.07 |
Total Drug Medicare PaymentAmount |
252916.46 |
Total Drug Medicare Standardized Payment Amount |
252916.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2132.5 |
Number Of Medicare Beneficiaries With Medical Services |
619 |
Total Medical Submitted Charge Amount |
266650.5 |
Total Medical Medicare Allowed Amount |
90301.91 |
Total Medical Medicare Payment Amount |
66575.36 |
Total Medical Medicare Standardized Payment Amount |
84006.65 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
216 |
Number Of Male Beneficiaries |
403 |
Number Of Non Hispanic White Beneficiaries |
595 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
571 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5355 |