National Provider Identifier [NPI]: |
1649562901 |
Last Name Of The Provider |
FRIEND-LANTZ |
First Name Of The Provider |
RACHEL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
311 N 4TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAKLAND |
Zip Code Of The Provider |
215501371 |
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 |
44 |
Number Of Services |
1515 |
Number Of Medicare Beneficiaries |
389 |
Total Submitted Charge Amount |
111221.36 |
Total Medicare Allowed Amount |
77557.52 |
Total Medicare Payment Amount |
53450.44 |
Total Medicare Standardized Payment Amount |
61972.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
327 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
4762.36 |
Total Drug Medicare AllowedAmount |
1703.36 |
Total Drug Medicare PaymentAmount |
1567.7 |
Total Drug Medicare Standardized Payment Amount |
1567.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1188 |
Number Of Medicare Beneficiaries With Medical Services |
388 |
Total Medical Submitted Charge Amount |
106459 |
Total Medical Medicare Allowed Amount |
75854.16 |
Total Medical Medicare Payment Amount |
51882.74 |
Total Medical Medicare Standardized Payment Amount |
60405.2 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
243 |
Number Of Male Beneficiaries |
146 |
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 |
274 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9789 |