National Provider Identifier [NPI]: |
1710098413 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
APRN BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2051 HAMILL ROAD |
Street Address 2 Of The Provider |
STE 301 A |
City Of The Provider |
HIXSON |
Zip Code Of The Provider |
37343 |
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 |
71 |
Number Of Services |
4918 |
Number Of Medicare Beneficiaries |
976 |
Total Submitted Charge Amount |
292207.24 |
Total Medicare Allowed Amount |
233810.55 |
Total Medicare Payment Amount |
171819.32 |
Total Medicare Standardized Payment Amount |
212318.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
1103.4 |
Total Drug Medicare AllowedAmount |
866.55 |
Total Drug Medicare PaymentAmount |
564.13 |
Total Drug Medicare Standardized Payment Amount |
564.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
4901 |
Number Of Medicare Beneficiaries With Medical Services |
976 |
Total Medical Submitted Charge Amount |
291103.84 |
Total Medical Medicare Allowed Amount |
232944 |
Total Medical Medicare Payment Amount |
171255.19 |
Total Medical Medicare Standardized Payment Amount |
211753.91 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
479 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
590 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
922 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
890 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9758 |