National Provider Identifier [NPI]: |
1043276439 |
Last Name Of The Provider |
GARTNER |
First Name Of The Provider |
REBECCA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
ANP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3633 CENTRAL AVE. |
Street Address 2 Of The Provider |
STE N. |
City Of The Provider |
HOT SPRINGS |
Zip Code Of The Provider |
719136475 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
13633 |
Number Of Medicare Beneficiaries |
1795 |
Total Submitted Charge Amount |
572106 |
Total Medicare Allowed Amount |
457782.73 |
Total Medicare Payment Amount |
313184.57 |
Total Medicare Standardized Payment Amount |
401681.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
923 |
Total Drug Medicare AllowedAmount |
903.3 |
Total Drug Medicare PaymentAmount |
295.34 |
Total Drug Medicare Standardized Payment Amount |
295.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
13615 |
Number Of Medicare Beneficiaries With Medical Services |
1795 |
Total Medical Submitted Charge Amount |
571183 |
Total Medical Medicare Allowed Amount |
456879.43 |
Total Medical Medicare Payment Amount |
312889.23 |
Total Medical Medicare Standardized Payment Amount |
401385.87 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
850 |
Number Of Beneficiaries Age 75 to 84 |
638 |
Number Of Beneficiaries Age Greater 84 |
244 |
Number Of Female Beneficiaries |
993 |
Number Of Male Beneficiaries |
802 |
Number Of Non Hispanic White Beneficiaries |
1747 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1680 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8938 |