National Provider Identifier [NPI]: |
1982901781 |
Last Name Of The Provider |
RAABE |
First Name Of The Provider |
ADRIAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
RN, ANP-BC, GNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4300 CITY POINT DR STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH RICHLAND HILLS |
Zip Code Of The Provider |
761808380 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
728 |
Number Of Medicare Beneficiaries |
270 |
Total Submitted Charge Amount |
52536 |
Total Medicare Allowed Amount |
24551.56 |
Total Medicare Payment Amount |
13446.13 |
Total Medicare Standardized Payment Amount |
17340.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
186 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1474 |
Total Drug Medicare AllowedAmount |
168.21 |
Total Drug Medicare PaymentAmount |
144.4 |
Total Drug Medicare Standardized Payment Amount |
144.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
542 |
Number Of Medicare Beneficiaries With Medical Services |
270 |
Total Medical Submitted Charge Amount |
51062 |
Total Medical Medicare Allowed Amount |
24383.35 |
Total Medical Medicare Payment Amount |
13301.73 |
Total Medical Medicare Standardized Payment Amount |
17196.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
166 |
Number Of Male Beneficiaries |
104 |
Number Of Non Hispanic White Beneficiaries |
254 |
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 |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0225 |