National Provider Identifier [NPI]: |
1326346685 |
Last Name Of The Provider |
HORNBECK |
First Name Of The Provider |
REBECCA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
NP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 BUSINESS LOOP 70 W |
Street Address 2 Of The Provider |
STE 275 |
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
652032585 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
558 |
Number Of Medicare Beneficiaries |
323 |
Total Submitted Charge Amount |
46358.5 |
Total Medicare Allowed Amount |
23587.43 |
Total Medicare Payment Amount |
14131.5 |
Total Medicare Standardized Payment Amount |
19526.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
41 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
707.5 |
Total Drug Medicare AllowedAmount |
83.09 |
Total Drug Medicare PaymentAmount |
55.58 |
Total Drug Medicare Standardized Payment Amount |
55.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
517 |
Number Of Medicare Beneficiaries With Medical Services |
323 |
Total Medical Submitted Charge Amount |
45651 |
Total Medical Medicare Allowed Amount |
23504.34 |
Total Medical Medicare Payment Amount |
14075.92 |
Total Medical Medicare Standardized Payment Amount |
19470.82 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
199 |
Number Of Male Beneficiaries |
124 |
Number Of Non Hispanic White Beneficiaries |
304 |
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 |
286 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8532 |