National Provider Identifier [NPI]: |
1164457727 |
Last Name Of The Provider |
YORK-JESME |
First Name Of The Provider |
MARGARET |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 W CONAN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELY |
Zip Code Of The Provider |
557311145 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
1204 |
Number Of Medicare Beneficiaries |
268 |
Total Submitted Charge Amount |
119641 |
Total Medicare Allowed Amount |
39424.04 |
Total Medicare Payment Amount |
26864 |
Total Medicare Standardized Payment Amount |
32115.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
89 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
1627.5 |
Total Drug Medicare AllowedAmount |
802.01 |
Total Drug Medicare PaymentAmount |
757.57 |
Total Drug Medicare Standardized Payment Amount |
757.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
1115 |
Number Of Medicare Beneficiaries With Medical Services |
268 |
Total Medical Submitted Charge Amount |
118013.5 |
Total Medical Medicare Allowed Amount |
38622.03 |
Total Medical Medicare Payment Amount |
26106.43 |
Total Medical Medicare Standardized Payment Amount |
31358.25 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
73 |
Number Of Beneficiaries Age 75 to 84 |
90 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
181 |
Number Of Male Beneficiaries |
87 |
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 |
203 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
|
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
27 |
Percent Of With Hypertension |
41 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9109 |