National Provider Identifier [NPI]: |
1689885501 |
Last Name Of The Provider |
FIGUEROA |
First Name Of The Provider |
VIRGIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
CNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
320A HOSPITAL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CANTON |
Zip Code Of The Provider |
301142410 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
168 |
Number Of Services |
12124 |
Number Of Medicare Beneficiaries |
1627 |
Total Submitted Charge Amount |
1183105 |
Total Medicare Allowed Amount |
309060.63 |
Total Medicare Payment Amount |
229406.96 |
Total Medicare Standardized Payment Amount |
265345.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
33 |
Number Of Drug Services |
5609 |
Number Of Medicare Beneficiaries With Drug Services |
760 |
Total Drug Submitted ChargeAmount |
107881 |
Total Drug Medicare AllowedAmount |
13102.82 |
Total Drug Medicare PaymentAmount |
10005.33 |
Total Drug Medicare Standardized Payment Amount |
10005.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
135 |
Number Of Medical Services |
6515 |
Number Of Medicare Beneficiaries With Medical Services |
1627 |
Total Medical Submitted Charge Amount |
1075224 |
Total Medical Medicare Allowed Amount |
295957.81 |
Total Medical Medicare Payment Amount |
219401.63 |
Total Medical Medicare Standardized Payment Amount |
255339.79 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
790 |
Number Of Beneficiaries Age 75 to 84 |
537 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
946 |
Number Of Male Beneficiaries |
681 |
Number Of Non Hispanic White Beneficiaries |
1571 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1535 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9906 |