National Provider Identifier [NPI]: |
1285699132 |
Last Name Of The Provider |
ESTES |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
APRN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1930 BISHOP LN |
Street Address 2 Of The Provider |
SUITE 1600 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402181921 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
1142 |
Number Of Medicare Beneficiaries |
228 |
Total Submitted Charge Amount |
188863 |
Total Medicare Allowed Amount |
88816.34 |
Total Medicare Payment Amount |
65678.77 |
Total Medicare Standardized Payment Amount |
84252.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
80 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
2800 |
Total Drug Medicare AllowedAmount |
1444.12 |
Total Drug Medicare PaymentAmount |
1379.96 |
Total Drug Medicare Standardized Payment Amount |
1379.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
1062 |
Number Of Medicare Beneficiaries With Medical Services |
228 |
Total Medical Submitted Charge Amount |
186063 |
Total Medical Medicare Allowed Amount |
87372.22 |
Total Medical Medicare Payment Amount |
64298.81 |
Total Medical Medicare Standardized Payment Amount |
82872.83 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
29 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
182 |
Number Of Male Beneficiaries |
46 |
Number Of Non Hispanic White Beneficiaries |
197 |
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 |
181 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
52 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.9154 |