National Provider Identifier [NPI]: |
1902117716 |
Last Name Of The Provider |
OSBORNE |
First Name Of The Provider |
PATTI |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4781 KAYBEE DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAS CITY |
Zip Code Of The Provider |
469336607 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1865 |
Number Of Medicare Beneficiaries |
248 |
Total Submitted Charge Amount |
95479.5 |
Total Medicare Allowed Amount |
68989.11 |
Total Medicare Payment Amount |
48484.63 |
Total Medicare Standardized Payment Amount |
59863.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
767 |
Number Of Medicare Beneficiaries With Drug Services |
154 |
Total Drug Submitted ChargeAmount |
16363.5 |
Total Drug Medicare AllowedAmount |
9343.1 |
Total Drug Medicare PaymentAmount |
8011.64 |
Total Drug Medicare Standardized Payment Amount |
8011.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
1098 |
Number Of Medicare Beneficiaries With Medical Services |
248 |
Total Medical Submitted Charge Amount |
79116 |
Total Medical Medicare Allowed Amount |
59646.01 |
Total Medical Medicare Payment Amount |
40472.99 |
Total Medical Medicare Standardized Payment Amount |
51851.51 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
86 |
Number Of Beneficiaries Age 75 to 84 |
32 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
91 |
Number Of Non Hispanic White Beneficiaries |
224 |
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 |
119 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0912 |