National Provider Identifier [NPI]: |
1225286222 |
Last Name Of The Provider |
TYLER |
First Name Of The Provider |
SHAROLYNN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
APN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14805 N OUTER 40 RD |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
CHESTERFIELD |
Zip Code Of The Provider |
630176060 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
4055 |
Number Of Medicare Beneficiaries |
382 |
Total Submitted Charge Amount |
282200 |
Total Medicare Allowed Amount |
258090.4 |
Total Medicare Payment Amount |
198517.88 |
Total Medicare Standardized Payment Amount |
234894.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
9 |
Number Of Medical Services |
4055 |
Number Of Medicare Beneficiaries With Medical Services |
382 |
Total Medical Submitted Charge Amount |
282200 |
Total Medical Medicare Allowed Amount |
258090.4 |
Total Medical Medicare Payment Amount |
198517.88 |
Total Medical Medicare Standardized Payment Amount |
234894.74 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
226 |
Number Of Male Beneficiaries |
156 |
Number Of Non Hispanic White Beneficiaries |
294 |
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 |
144 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
238 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
63 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
3.4536 |