National Provider Identifier [NPI]: |
1245253921 |
Last Name Of The Provider |
RHODES |
First Name Of The Provider |
TAMARA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
RN, MSN, ARNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
517 36TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PARKERSBURG |
Zip Code Of The Provider |
261011006 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
11 |
Number Of Services |
1164 |
Number Of Medicare Beneficiaries |
608 |
Total Submitted Charge Amount |
116925 |
Total Medicare Allowed Amount |
60676.5 |
Total Medicare Payment Amount |
46985.15 |
Total Medicare Standardized Payment Amount |
59524.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1430 |
Total Drug Medicare AllowedAmount |
208.9 |
Total Drug Medicare PaymentAmount |
157.37 |
Total Drug Medicare Standardized Payment Amount |
157.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
1099 |
Number Of Medicare Beneficiaries With Medical Services |
608 |
Total Medical Submitted Charge Amount |
115495 |
Total Medical Medicare Allowed Amount |
60467.6 |
Total Medical Medicare Payment Amount |
46827.78 |
Total Medical Medicare Standardized Payment Amount |
59367.02 |
Average Age Of Beneficiaries |
59 |
Number Of Beneficiaries Age Less65 |
405 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
322 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
596 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
287 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
321 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.2864 |