National Provider Identifier [NPI]: |
1932329463 |
Last Name Of The Provider |
BIBLE |
First Name Of The Provider |
MARLA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
RNFNPBC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2100 LAKE SHORE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WACO |
Zip Code Of The Provider |
767081271 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
1078 |
Number Of Medicare Beneficiaries |
256 |
Total Submitted Charge Amount |
84613.01 |
Total Medicare Allowed Amount |
45397.87 |
Total Medicare Payment Amount |
32621.48 |
Total Medicare Standardized Payment Amount |
41442.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
167 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
2480.01 |
Total Drug Medicare AllowedAmount |
1180.29 |
Total Drug Medicare PaymentAmount |
1131.77 |
Total Drug Medicare Standardized Payment Amount |
1131.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
911 |
Number Of Medicare Beneficiaries With Medical Services |
256 |
Total Medical Submitted Charge Amount |
82133 |
Total Medical Medicare Allowed Amount |
44217.58 |
Total Medical Medicare Payment Amount |
31489.71 |
Total Medical Medicare Standardized Payment Amount |
40311.09 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
118 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
166 |
Number Of Male Beneficiaries |
90 |
Number Of Non Hispanic White Beneficiaries |
195 |
Number Of Black or African American Beneficiaries |
37 |
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 |
199 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9512 |