National Provider Identifier [NPI]: |
1699747204 |
Last Name Of The Provider |
SHARO |
First Name Of The Provider |
TERRI |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2616 WILMINGTON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW CASTLE |
Zip Code Of The Provider |
161051530 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
11 |
Number Of Services |
476 |
Number Of Medicare Beneficiaries |
164 |
Total Submitted Charge Amount |
56710 |
Total Medicare Allowed Amount |
28622.68 |
Total Medicare Payment Amount |
18559.76 |
Total Medicare Standardized Payment Amount |
23574.42 |
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 |
11 |
Number Of Medical Services |
476 |
Number Of Medicare Beneficiaries With Medical Services |
164 |
Total Medical Submitted Charge Amount |
56710 |
Total Medical Medicare Allowed Amount |
28622.68 |
Total Medical Medicare Payment Amount |
18559.76 |
Total Medical Medicare Standardized Payment Amount |
23574.42 |
Average Age Of Beneficiaries |
58 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
32 |
Number Of Beneficiaries Age 75 to 84 |
17 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
108 |
Number Of Male Beneficiaries |
56 |
Number Of Non Hispanic White Beneficiaries |
150 |
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 |
34 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5638 |