National Provider Identifier [NPI]: |
1699719971 |
Last Name Of The Provider |
GIAIMO |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1021 WENTZVILLE PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
WENTZVILLE |
Zip Code Of The Provider |
633853437 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
916 |
Number Of Medicare Beneficiaries |
396 |
Total Submitted Charge Amount |
78791.25 |
Total Medicare Allowed Amount |
43496.58 |
Total Medicare Payment Amount |
29017.04 |
Total Medicare Standardized Payment Amount |
35983.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
102 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
2201.25 |
Total Drug Medicare AllowedAmount |
1336.87 |
Total Drug Medicare PaymentAmount |
1069.8 |
Total Drug Medicare Standardized Payment Amount |
1069.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
814 |
Number Of Medicare Beneficiaries With Medical Services |
396 |
Total Medical Submitted Charge Amount |
76590 |
Total Medical Medicare Allowed Amount |
42159.71 |
Total Medical Medicare Payment Amount |
27947.24 |
Total Medical Medicare Standardized Payment Amount |
34913.94 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
89 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
278 |
Number Of Male Beneficiaries |
118 |
Number Of Non Hispanic White Beneficiaries |
378 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9721 |