National Provider Identifier [NPI]: |
1851521959 |
Last Name Of The Provider |
DELANY |
First Name Of The Provider |
VICKI |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
NURSE PRACTIONER |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7275 SAWMILL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUBLIN |
Zip Code Of The Provider |
430169021 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
2397 |
Number Of Medicare Beneficiaries |
902 |
Total Submitted Charge Amount |
327706.53 |
Total Medicare Allowed Amount |
131300.42 |
Total Medicare Payment Amount |
88955.28 |
Total Medicare Standardized Payment Amount |
112866.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
448 |
Number Of Medicare Beneficiaries With Drug Services |
253 |
Total Drug Submitted ChargeAmount |
11640 |
Total Drug Medicare AllowedAmount |
1044.37 |
Total Drug Medicare PaymentAmount |
863.23 |
Total Drug Medicare Standardized Payment Amount |
863.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
1949 |
Number Of Medicare Beneficiaries With Medical Services |
902 |
Total Medical Submitted Charge Amount |
316066.53 |
Total Medical Medicare Allowed Amount |
130256.05 |
Total Medical Medicare Payment Amount |
88092.05 |
Total Medical Medicare Standardized Payment Amount |
112003.21 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
232 |
Number Of Beneficiaries Age 65 to 74 |
348 |
Number Of Beneficiaries Age 75 to 84 |
234 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
615 |
Number Of Male Beneficiaries |
287 |
Number Of Non Hispanic White Beneficiaries |
823 |
Number Of Black or African American Beneficiaries |
50 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
654 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9647 |