National Provider Identifier [NPI]: |
1487640033 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
NP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 SAINT CHARLES ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JASPER |
Zip Code Of The Provider |
475469145 |
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 |
73 |
Number Of Services |
12897 |
Number Of Medicare Beneficiaries |
783 |
Total Submitted Charge Amount |
572879.4 |
Total Medicare Allowed Amount |
191302.28 |
Total Medicare Payment Amount |
140653.56 |
Total Medicare Standardized Payment Amount |
160446.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
10696 |
Number Of Medicare Beneficiaries With Drug Services |
362 |
Total Drug Submitted ChargeAmount |
102467 |
Total Drug Medicare AllowedAmount |
70904.68 |
Total Drug Medicare PaymentAmount |
54401.89 |
Total Drug Medicare Standardized Payment Amount |
54401.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
2201 |
Number Of Medicare Beneficiaries With Medical Services |
783 |
Total Medical Submitted Charge Amount |
470412.4 |
Total Medical Medicare Allowed Amount |
120397.6 |
Total Medical Medicare Payment Amount |
86251.67 |
Total Medical Medicare Standardized Payment Amount |
106044.82 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
358 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
513 |
Number Of Male Beneficiaries |
270 |
Number Of Non Hispanic White Beneficiaries |
771 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
714 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0401 |