National Provider Identifier [NPI]: |
1043646904 |
Last Name Of The Provider |
OSBORNE |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
FNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
702 PINE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HILLSVILLE |
Zip Code Of The Provider |
243431405 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
1986 |
Number Of Medicare Beneficiaries |
361 |
Total Submitted Charge Amount |
214544 |
Total Medicare Allowed Amount |
89699.12 |
Total Medicare Payment Amount |
65904.86 |
Total Medicare Standardized Payment Amount |
78853.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
204 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
5628 |
Total Drug Medicare AllowedAmount |
2115.35 |
Total Drug Medicare PaymentAmount |
2002.5 |
Total Drug Medicare Standardized Payment Amount |
2002.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1782 |
Number Of Medicare Beneficiaries With Medical Services |
361 |
Total Medical Submitted Charge Amount |
208916 |
Total Medical Medicare Allowed Amount |
87583.77 |
Total Medical Medicare Payment Amount |
63902.36 |
Total Medical Medicare Standardized Payment Amount |
76851.18 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
97 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
222 |
Number Of Male Beneficiaries |
139 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
223 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2706 |