National Provider Identifier [NPI]: |
1659524676 |
Last Name Of The Provider |
HARPER |
First Name Of The Provider |
ALICIA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
NP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1550 SPARTA ST |
Street Address 2 Of The Provider |
STE 9 |
City Of The Provider |
MC MINNVILLE |
Zip Code Of The Provider |
371101315 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
549 |
Number Of Medicare Beneficiaries |
287 |
Total Submitted Charge Amount |
57114.5 |
Total Medicare Allowed Amount |
29010.8 |
Total Medicare Payment Amount |
22027.38 |
Total Medicare Standardized Payment Amount |
27879.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
105 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
2277.5 |
Total Drug Medicare AllowedAmount |
1481.11 |
Total Drug Medicare PaymentAmount |
1274.71 |
Total Drug Medicare Standardized Payment Amount |
1274.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
444 |
Number Of Medicare Beneficiaries With Medical Services |
287 |
Total Medical Submitted Charge Amount |
54837 |
Total Medical Medicare Allowed Amount |
27529.69 |
Total Medical Medicare Payment Amount |
20752.67 |
Total Medical Medicare Standardized Payment Amount |
26604.42 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
114 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
62 |
Number Of Non Hispanic White Beneficiaries |
263 |
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 |
254 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1484 |