National Provider Identifier [NPI]: |
1760743975 |
Last Name Of The Provider |
SPILLER |
First Name Of The Provider |
NATALIE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
RN MSN FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
632 W GIBSON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WOODLAND |
Zip Code Of The Provider |
956955169 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
373 |
Number Of Medicare Beneficiaries |
192 |
Total Submitted Charge Amount |
75605 |
Total Medicare Allowed Amount |
21596.74 |
Total Medicare Payment Amount |
14548.05 |
Total Medicare Standardized Payment Amount |
16677.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
58 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
2507 |
Total Drug Medicare AllowedAmount |
506.34 |
Total Drug Medicare PaymentAmount |
493.27 |
Total Drug Medicare Standardized Payment Amount |
493.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
315 |
Number Of Medicare Beneficiaries With Medical Services |
192 |
Total Medical Submitted Charge Amount |
73098 |
Total Medical Medicare Allowed Amount |
21090.4 |
Total Medical Medicare Payment Amount |
14054.78 |
Total Medical Medicare Standardized Payment Amount |
16183.78 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
88 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
122 |
Number Of Male Beneficiaries |
70 |
Number Of Non Hispanic White Beneficiaries |
148 |
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 |
156 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
10 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8109 |