National Provider Identifier [NPI]: |
1851647978 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14955 SHADY GROVE RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208508700 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
266 |
Number Of Medicare Beneficiaries |
129 |
Total Submitted Charge Amount |
37241 |
Total Medicare Allowed Amount |
14899.37 |
Total Medicare Payment Amount |
11057.36 |
Total Medicare Standardized Payment Amount |
11570.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
28 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
430 |
Total Drug Medicare AllowedAmount |
192.81 |
Total Drug Medicare PaymentAmount |
186.22 |
Total Drug Medicare Standardized Payment Amount |
186.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
238 |
Number Of Medicare Beneficiaries With Medical Services |
129 |
Total Medical Submitted Charge Amount |
36811 |
Total Medical Medicare Allowed Amount |
14706.56 |
Total Medical Medicare Payment Amount |
10871.14 |
Total Medical Medicare Standardized Payment Amount |
11383.81 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
49 |
Number Of Beneficiaries Age 75 to 84 |
29 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
80 |
Number Of Male Beneficiaries |
49 |
Number Of Non Hispanic White Beneficiaries |
85 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
12 |
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 |
89 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0689 |