National Provider Identifier [NPI]: |
1437442332 |
Last Name Of The Provider |
REICHLE |
First Name Of The Provider |
LYNN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 WILLOW CREEK ROAD |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
PRESCOTT |
Zip Code Of The Provider |
86301 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
1496.5 |
Number Of Medicare Beneficiaries |
297 |
Total Submitted Charge Amount |
117819.19 |
Total Medicare Allowed Amount |
90177.3 |
Total Medicare Payment Amount |
59705.22 |
Total Medicare Standardized Payment Amount |
75109.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
370.5 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
1480.61 |
Total Drug Medicare AllowedAmount |
815.39 |
Total Drug Medicare PaymentAmount |
545.55 |
Total Drug Medicare Standardized Payment Amount |
545.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1126 |
Number Of Medicare Beneficiaries With Medical Services |
297 |
Total Medical Submitted Charge Amount |
116338.58 |
Total Medical Medicare Allowed Amount |
89361.91 |
Total Medical Medicare Payment Amount |
59159.67 |
Total Medical Medicare Standardized Payment Amount |
74563.76 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
184 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
174 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
275 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
272 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8828 |