National Provider Identifier [NPI]: |
1962448423 |
Last Name Of The Provider |
MCANALLEY |
First Name Of The Provider |
MARILYN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1001 S JACKSON HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHEFFIELD |
Zip Code Of The Provider |
356605760 |
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 |
26 |
Number Of Services |
2002 |
Number Of Medicare Beneficiaries |
310 |
Total Submitted Charge Amount |
95474 |
Total Medicare Allowed Amount |
61277.08 |
Total Medicare Payment Amount |
36364.01 |
Total Medicare Standardized Payment Amount |
49632.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
482 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
3520 |
Total Drug Medicare AllowedAmount |
559.03 |
Total Drug Medicare PaymentAmount |
470.86 |
Total Drug Medicare Standardized Payment Amount |
470.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
1520 |
Number Of Medicare Beneficiaries With Medical Services |
310 |
Total Medical Submitted Charge Amount |
91954 |
Total Medical Medicare Allowed Amount |
60718.05 |
Total Medical Medicare Payment Amount |
35893.15 |
Total Medical Medicare Standardized Payment Amount |
49161.34 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
216 |
Number Of Male Beneficiaries |
94 |
Number Of Non Hispanic White Beneficiaries |
292 |
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 |
252 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.751 |