National Provider Identifier [NPI]: |
1871665026 |
Last Name Of The Provider |
CREAMER |
First Name Of The Provider |
SANDRA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
PHD NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 HOSPITAL DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOWELL |
Zip Code Of The Provider |
01852 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1195 |
Number Of Medicare Beneficiaries |
54 |
Total Submitted Charge Amount |
68596.12 |
Total Medicare Allowed Amount |
31926.62 |
Total Medicare Payment Amount |
25037.07 |
Total Medicare Standardized Payment Amount |
25461.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
1054 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
49114.12 |
Total Drug Medicare AllowedAmount |
26021.27 |
Total Drug Medicare PaymentAmount |
20400.68 |
Total Drug Medicare Standardized Payment Amount |
20400.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
141 |
Number Of Medicare Beneficiaries With Medical Services |
54 |
Total Medical Submitted Charge Amount |
19482 |
Total Medical Medicare Allowed Amount |
5905.35 |
Total Medical Medicare Payment Amount |
4636.39 |
Total Medical Medicare Standardized Payment Amount |
5061.15 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
18 |
Number Of Beneficiaries Age 75 to 84 |
18 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
35 |
Number Of Male Beneficiaries |
19 |
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 |
42 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
37 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.1694 |