National Provider Identifier [NPI]: |
1831133081 |
Last Name Of The Provider |
FRIEDRICH |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
NURSE PRACTITIONER |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1950 45TH STREET |
Street Address 2 Of The Provider |
STE. 201 |
City Of The Provider |
MUNSTER |
Zip Code Of The Provider |
46321 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
2402 |
Number Of Medicare Beneficiaries |
475 |
Total Submitted Charge Amount |
350396.51 |
Total Medicare Allowed Amount |
162672.9 |
Total Medicare Payment Amount |
119222.03 |
Total Medicare Standardized Payment Amount |
149499.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
108 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
4198.51 |
Total Drug Medicare AllowedAmount |
2965.77 |
Total Drug Medicare PaymentAmount |
2874.5 |
Total Drug Medicare Standardized Payment Amount |
2874.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
2294 |
Number Of Medicare Beneficiaries With Medical Services |
475 |
Total Medical Submitted Charge Amount |
346198 |
Total Medical Medicare Allowed Amount |
159707.13 |
Total Medical Medicare Payment Amount |
116347.53 |
Total Medical Medicare Standardized Payment Amount |
146625.17 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
114 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
330 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
418 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
358 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6983 |