National Provider Identifier [NPI]: |
1831195197 |
Last Name Of The Provider |
TURNER |
First Name Of The Provider |
MELANIE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21703 KINGSLAND BLVD |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
KATY |
Zip Code Of The Provider |
774502521 |
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 |
13 |
Number Of Services |
227 |
Number Of Medicare Beneficiaries |
111 |
Total Submitted Charge Amount |
6925.94 |
Total Medicare Allowed Amount |
6739.51 |
Total Medicare Payment Amount |
6144.69 |
Total Medicare Standardized Payment Amount |
6728.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
106 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
3574.94 |
Total Drug Medicare AllowedAmount |
3515.66 |
Total Drug Medicare PaymentAmount |
3445.33 |
Total Drug Medicare Standardized Payment Amount |
3445.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
121 |
Number Of Medicare Beneficiaries With Medical Services |
111 |
Total Medical Submitted Charge Amount |
3351 |
Total Medical Medicare Allowed Amount |
3223.85 |
Total Medical Medicare Payment Amount |
2699.36 |
Total Medical Medicare Standardized Payment Amount |
3282.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
71 |
Number Of Beneficiaries Age 75 to 84 |
24 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
63 |
Number Of Male Beneficiaries |
48 |
Number Of Non Hispanic White Beneficiaries |
94 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
14 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8161 |