National Provider Identifier [NPI]: |
1760657662 |
Last Name Of The Provider |
DUKE |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3421 BENSON AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212271056 |
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 |
34 |
Number Of Services |
1099 |
Number Of Medicare Beneficiaries |
331 |
Total Submitted Charge Amount |
222699.73 |
Total Medicare Allowed Amount |
54570.12 |
Total Medicare Payment Amount |
40985.63 |
Total Medicare Standardized Payment Amount |
43662.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
178 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
34970.44 |
Total Drug Medicare AllowedAmount |
11974.11 |
Total Drug Medicare PaymentAmount |
9352.71 |
Total Drug Medicare Standardized Payment Amount |
9352.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
921 |
Number Of Medicare Beneficiaries With Medical Services |
331 |
Total Medical Submitted Charge Amount |
187729.29 |
Total Medical Medicare Allowed Amount |
42596.01 |
Total Medical Medicare Payment Amount |
31632.92 |
Total Medical Medicare Standardized Payment Amount |
34309.98 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
99 |
Number Of Non Hispanic White Beneficiaries |
243 |
Number Of Black or African American Beneficiaries |
73 |
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 |
301 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9924 |