National Provider Identifier [NPI]: |
1801868054 |
Last Name Of The Provider |
EDENS |
First Name Of The Provider |
PAMELA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
APRN BC FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 N JEFFERSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEWISBURG |
Zip Code Of The Provider |
24901 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
897 |
Number Of Medicare Beneficiaries |
261 |
Total Submitted Charge Amount |
67857 |
Total Medicare Allowed Amount |
37423.2 |
Total Medicare Payment Amount |
24730.84 |
Total Medicare Standardized Payment Amount |
32952.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
121 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
2218 |
Total Drug Medicare AllowedAmount |
1324.32 |
Total Drug Medicare PaymentAmount |
1269.15 |
Total Drug Medicare Standardized Payment Amount |
1269.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
776 |
Number Of Medicare Beneficiaries With Medical Services |
261 |
Total Medical Submitted Charge Amount |
65639 |
Total Medical Medicare Allowed Amount |
36098.88 |
Total Medical Medicare Payment Amount |
23461.69 |
Total Medical Medicare Standardized Payment Amount |
31683.76 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
61 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
163 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
249 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1522 |