National Provider Identifier [NPI]: |
1457514614 |
Last Name Of The Provider |
STURGEON |
First Name Of The Provider |
NATALIE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
P.A.C. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 HOSPITAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
TRENTON |
Zip Code Of The Provider |
383823321 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
1849 |
Number Of Medicare Beneficiaries |
379 |
Total Submitted Charge Amount |
198784.86 |
Total Medicare Allowed Amount |
92674.29 |
Total Medicare Payment Amount |
61867.12 |
Total Medicare Standardized Payment Amount |
83843.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
472 |
Number Of Medicare Beneficiaries With Drug Services |
123 |
Total Drug Submitted ChargeAmount |
9190 |
Total Drug Medicare AllowedAmount |
1356.22 |
Total Drug Medicare PaymentAmount |
1153.02 |
Total Drug Medicare Standardized Payment Amount |
1153.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1377 |
Number Of Medicare Beneficiaries With Medical Services |
379 |
Total Medical Submitted Charge Amount |
189594.86 |
Total Medical Medicare Allowed Amount |
91318.07 |
Total Medical Medicare Payment Amount |
60714.1 |
Total Medical Medicare Standardized Payment Amount |
82690.43 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
150 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
268 |
Number Of Male Beneficiaries |
111 |
Number Of Non Hispanic White Beneficiaries |
332 |
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 |
252 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.071 |