National Provider Identifier [NPI]: |
1467891945 |
Last Name Of The Provider |
COWELL |
First Name Of The Provider |
AMANDA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
APNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
710 W DEWITT HENRY DR |
Street Address 2 Of The Provider |
A |
City Of The Provider |
BEEBE |
Zip Code Of The Provider |
720122102 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
2341 |
Number Of Medicare Beneficiaries |
530 |
Total Submitted Charge Amount |
278495 |
Total Medicare Allowed Amount |
154521.76 |
Total Medicare Payment Amount |
120817.41 |
Total Medicare Standardized Payment Amount |
152141.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
556 |
Total Drug Medicare AllowedAmount |
119.06 |
Total Drug Medicare PaymentAmount |
88.27 |
Total Drug Medicare Standardized Payment Amount |
88.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
2228 |
Number Of Medicare Beneficiaries With Medical Services |
530 |
Total Medical Submitted Charge Amount |
277939 |
Total Medical Medicare Allowed Amount |
154402.7 |
Total Medical Medicare Payment Amount |
120729.14 |
Total Medical Medicare Standardized Payment Amount |
152052.9 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
173 |
Number Of Beneficiaries Age Greater 84 |
193 |
Number Of Female Beneficiaries |
360 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
503 |
Number Of Black or African American Beneficiaries |
16 |
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 |
236 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
294 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
61 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
31 |
Percent Of With Stroke |
28 |
Average HCC Risk Score Of Beneficiaries |
1.96 |