National Provider Identifier [NPI]: |
1285604132 |
Last Name Of The Provider |
BEARD |
First Name Of The Provider |
MICHELLE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
N,P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
590 PETER JEFFERSON PLACE |
Street Address 2 Of The Provider |
SUITE 175 |
City Of The Provider |
CHARLOTTESVILLE |
Zip Code Of The Provider |
229110001 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
60833 |
Number Of Medicare Beneficiaries |
498 |
Total Submitted Charge Amount |
2671285.11 |
Total Medicare Allowed Amount |
544068.94 |
Total Medicare Payment Amount |
423918.57 |
Total Medicare Standardized Payment Amount |
434032.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
51 |
Number Of Drug Services |
58561 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
2390139.69 |
Total Drug Medicare AllowedAmount |
455744.08 |
Total Drug Medicare PaymentAmount |
356705.05 |
Total Drug Medicare Standardized Payment Amount |
356705.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
2272 |
Number Of Medicare Beneficiaries With Medical Services |
498 |
Total Medical Submitted Charge Amount |
281145.42 |
Total Medical Medicare Allowed Amount |
88324.86 |
Total Medical Medicare Payment Amount |
67213.52 |
Total Medical Medicare Standardized Payment Amount |
77327.43 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
162 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
212 |
Number Of Non Hispanic White Beneficiaries |
370 |
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 |
393 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
105 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9419 |