National Provider Identifier [NPI]: |
1679551907 |
Last Name Of The Provider |
WHITFIELD |
First Name Of The Provider |
SHARMAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 W STONE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
KINGSPORT |
Zip Code Of The Provider |
376602360 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
5089 |
Number Of Medicare Beneficiaries |
982 |
Total Submitted Charge Amount |
500047 |
Total Medicare Allowed Amount |
189288.67 |
Total Medicare Payment Amount |
130980.74 |
Total Medicare Standardized Payment Amount |
170753.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
78 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
1196 |
Total Drug Medicare AllowedAmount |
1029.9 |
Total Drug Medicare PaymentAmount |
801.6 |
Total Drug Medicare Standardized Payment Amount |
801.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
5011 |
Number Of Medicare Beneficiaries With Medical Services |
982 |
Total Medical Submitted Charge Amount |
498851 |
Total Medical Medicare Allowed Amount |
188258.77 |
Total Medical Medicare Payment Amount |
130179.14 |
Total Medical Medicare Standardized Payment Amount |
169951.85 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
457 |
Number Of Beneficiaries Age 75 to 84 |
295 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
617 |
Number Of Male Beneficiaries |
365 |
Number Of Non Hispanic White Beneficiaries |
968 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
867 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9124 |