National Provider Identifier [NPI]: |
1255375275 |
Last Name Of The Provider |
SAXTON |
First Name Of The Provider |
SARAH |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
85 HIGH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BUFFALO |
Zip Code Of The Provider |
142031149 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
12426 |
Number Of Medicare Beneficiaries |
230 |
Total Submitted Charge Amount |
147687.6 |
Total Medicare Allowed Amount |
77070.43 |
Total Medicare Payment Amount |
60513.54 |
Total Medicare Standardized Payment Amount |
68199.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
11100 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
64320.6 |
Total Drug Medicare AllowedAmount |
30621.09 |
Total Drug Medicare PaymentAmount |
24005.91 |
Total Drug Medicare Standardized Payment Amount |
24005.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
1326 |
Number Of Medicare Beneficiaries With Medical Services |
230 |
Total Medical Submitted Charge Amount |
83367 |
Total Medical Medicare Allowed Amount |
46449.34 |
Total Medical Medicare Payment Amount |
36507.63 |
Total Medical Medicare Standardized Payment Amount |
44193.94 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
66 |
Number Of Beneficiaries Age 75 to 84 |
46 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
127 |
Number Of Male Beneficiaries |
103 |
Number Of Non Hispanic White Beneficiaries |
117 |
Number Of Black or African American Beneficiaries |
89 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
121 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
4.3791 |