National Provider Identifier [NPI]: |
1770633836 |
Last Name Of The Provider |
HURST |
First Name Of The Provider |
MELANIE |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
F.N.P.C. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1309 VEALE RD |
Street Address 2 Of The Provider |
SUITE 11 |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198104609 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
732 |
Number Of Medicare Beneficiaries |
289 |
Total Submitted Charge Amount |
81153.5 |
Total Medicare Allowed Amount |
64338.33 |
Total Medicare Payment Amount |
49792.26 |
Total Medicare Standardized Payment Amount |
57883.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
1215 |
Total Drug Medicare AllowedAmount |
712.35 |
Total Drug Medicare PaymentAmount |
698.19 |
Total Drug Medicare Standardized Payment Amount |
698.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
686 |
Number Of Medicare Beneficiaries With Medical Services |
289 |
Total Medical Submitted Charge Amount |
79938.5 |
Total Medical Medicare Allowed Amount |
63625.98 |
Total Medical Medicare Payment Amount |
49094.07 |
Total Medical Medicare Standardized Payment Amount |
57185.77 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
75 |
Number Of Beneficiaries Age 75 to 84 |
82 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
181 |
Number Of Male Beneficiaries |
108 |
Number Of Non Hispanic White Beneficiaries |
215 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
156 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
55 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9299 |