National Provider Identifier [NPI]: |
1891967360 |
Last Name Of The Provider |
MCKEE |
First Name Of The Provider |
MEREDITH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
APN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5220 PARK AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
38119 |
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 |
44 |
Number Of Services |
677 |
Number Of Medicare Beneficiaries |
130 |
Total Submitted Charge Amount |
39248 |
Total Medicare Allowed Amount |
19155.53 |
Total Medicare Payment Amount |
12097.38 |
Total Medicare Standardized Payment Amount |
15812.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
78 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1097 |
Total Drug Medicare AllowedAmount |
508.62 |
Total Drug Medicare PaymentAmount |
481.42 |
Total Drug Medicare Standardized Payment Amount |
481.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
599 |
Number Of Medicare Beneficiaries With Medical Services |
130 |
Total Medical Submitted Charge Amount |
38151 |
Total Medical Medicare Allowed Amount |
18646.91 |
Total Medical Medicare Payment Amount |
11615.96 |
Total Medical Medicare Standardized Payment Amount |
15330.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
77 |
Number Of Beneficiaries Age 75 to 84 |
30 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
90 |
Number Of Male Beneficiaries |
40 |
Number Of Non Hispanic White Beneficiaries |
103 |
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 |
|
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 |
8 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
0 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7867 |