National Provider Identifier [NPI]: |
1467413922 |
Last Name Of The Provider |
STONE |
First Name Of The Provider |
MELANIE |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
FNP C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
726 NORTH LOCUST AVENUE |
Street Address 2 Of The Provider |
1ST FLOOR SUITE D |
City Of The Provider |
LAWRENCEBURG |
Zip Code Of The Provider |
384642762 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
137 |
Number Of Services |
10775 |
Number Of Medicare Beneficiaries |
775 |
Total Submitted Charge Amount |
595007 |
Total Medicare Allowed Amount |
299646.87 |
Total Medicare Payment Amount |
214176.51 |
Total Medicare Standardized Payment Amount |
268058.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
3828 |
Number Of Medicare Beneficiaries With Drug Services |
415 |
Total Drug Submitted ChargeAmount |
86384 |
Total Drug Medicare AllowedAmount |
3213.69 |
Total Drug Medicare PaymentAmount |
2360.68 |
Total Drug Medicare Standardized Payment Amount |
2360.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
6947 |
Number Of Medicare Beneficiaries With Medical Services |
775 |
Total Medical Submitted Charge Amount |
508623 |
Total Medical Medicare Allowed Amount |
296433.18 |
Total Medical Medicare Payment Amount |
211815.83 |
Total Medical Medicare Standardized Payment Amount |
265697.67 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
254 |
Number Of Beneficiaries Age 65 to 74 |
330 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
462 |
Number Of Male Beneficiaries |
313 |
Number Of Non Hispanic White Beneficiaries |
755 |
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 |
502 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
273 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0386 |