National Provider Identifier [NPI]: |
1316350713 |
Last Name Of The Provider |
YATES |
First Name Of The Provider |
ANGELA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
APRN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1505 E MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
STIGLER |
Zip Code Of The Provider |
744622913 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
892 |
Number Of Medicare Beneficiaries |
207 |
Total Submitted Charge Amount |
43422 |
Total Medicare Allowed Amount |
21675.25 |
Total Medicare Payment Amount |
16883.46 |
Total Medicare Standardized Payment Amount |
21233.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
444 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
1370 |
Total Drug Medicare AllowedAmount |
573.42 |
Total Drug Medicare PaymentAmount |
499.09 |
Total Drug Medicare Standardized Payment Amount |
499.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
448 |
Number Of Medicare Beneficiaries With Medical Services |
207 |
Total Medical Submitted Charge Amount |
42052 |
Total Medical Medicare Allowed Amount |
21101.83 |
Total Medical Medicare Payment Amount |
16384.37 |
Total Medical Medicare Standardized Payment Amount |
20734.5 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
75 |
Number Of Beneficiaries Age 75 to 84 |
52 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
148 |
Number Of Male Beneficiaries |
59 |
Number Of Non Hispanic White Beneficiaries |
173 |
Number Of Black or African American Beneficiaries |
14 |
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 |
134 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1836 |