National Provider Identifier [NPI]: |
1669652509 |
Last Name Of The Provider |
NAHRUP |
First Name Of The Provider |
MARGHERITA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
NP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3009 N BALLAS RD |
Street Address 2 Of The Provider |
SUITE 387C |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631312322 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
1689 |
Number Of Medicare Beneficiaries |
557 |
Total Submitted Charge Amount |
123356.5 |
Total Medicare Allowed Amount |
68842.64 |
Total Medicare Payment Amount |
48115.28 |
Total Medicare Standardized Payment Amount |
58953.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
838.5 |
Total Drug Medicare AllowedAmount |
627.15 |
Total Drug Medicare PaymentAmount |
610.06 |
Total Drug Medicare Standardized Payment Amount |
610.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
1643 |
Number Of Medicare Beneficiaries With Medical Services |
557 |
Total Medical Submitted Charge Amount |
122518 |
Total Medical Medicare Allowed Amount |
68215.49 |
Total Medical Medicare Payment Amount |
47505.22 |
Total Medical Medicare Standardized Payment Amount |
58343.5 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
237 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
391 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
488 |
Number Of Black or African American Beneficiaries |
51 |
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 |
531 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0005 |