National Provider Identifier [NPI]: |
1770728578 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
LINDSEY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
714 12TH W ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JASPER |
Zip Code Of The Provider |
355014519 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
13 |
Number Of Services |
134 |
Number Of Medicare Beneficiaries |
69 |
Total Submitted Charge Amount |
4764.37 |
Total Medicare Allowed Amount |
1147.89 |
Total Medicare Payment Amount |
595.41 |
Total Medicare Standardized Payment Amount |
847.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
73 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
2327 |
Total Drug Medicare AllowedAmount |
59.4 |
Total Drug Medicare PaymentAmount |
27.33 |
Total Drug Medicare Standardized Payment Amount |
27.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
61 |
Number Of Medicare Beneficiaries With Medical Services |
40 |
Total Medical Submitted Charge Amount |
2437.37 |
Total Medical Medicare Allowed Amount |
1088.49 |
Total Medical Medicare Payment Amount |
568.08 |
Total Medical Medicare Standardized Payment Amount |
819.9 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
37 |
Number Of Male Beneficiaries |
32 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
22 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
16 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
0 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
17 |
Percent Of With Schizophrenia Other PsychoticDisorders |
23 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0753 |