National Provider Identifier [NPI]: |
1053662171 |
Last Name Of The Provider |
COVINGTON |
First Name Of The Provider |
SARAH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1608 GILMER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TALLASSEE |
Zip Code Of The Provider |
360782314 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
913 |
Number Of Medicare Beneficiaries |
249 |
Total Submitted Charge Amount |
67339.36 |
Total Medicare Allowed Amount |
39867.45 |
Total Medicare Payment Amount |
23377.76 |
Total Medicare Standardized Payment Amount |
32107.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
300 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
3549.36 |
Total Drug Medicare AllowedAmount |
1360.26 |
Total Drug Medicare PaymentAmount |
1085.56 |
Total Drug Medicare Standardized Payment Amount |
1085.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
613 |
Number Of Medicare Beneficiaries With Medical Services |
249 |
Total Medical Submitted Charge Amount |
63790 |
Total Medical Medicare Allowed Amount |
38507.19 |
Total Medical Medicare Payment Amount |
22292.2 |
Total Medical Medicare Standardized Payment Amount |
31021.58 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
92 |
Number Of Beneficiaries Age 75 to 84 |
64 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
170 |
Number Of Male Beneficiaries |
79 |
Number Of Non Hispanic White Beneficiaries |
197 |
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 |
190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4503 |