National Provider Identifier [NPI]: |
1962603910 |
Last Name Of The Provider |
PAULSON |
First Name Of The Provider |
APRIL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
131 JENNICK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLONIAL HEIGHTS |
Zip Code Of The Provider |
238344905 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
1041 |
Number Of Medicare Beneficiaries |
372 |
Total Submitted Charge Amount |
152635 |
Total Medicare Allowed Amount |
71246.66 |
Total Medicare Payment Amount |
54884.86 |
Total Medicare Standardized Payment Amount |
61800.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
231 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
33972 |
Total Drug Medicare AllowedAmount |
23190.89 |
Total Drug Medicare PaymentAmount |
18106.25 |
Total Drug Medicare Standardized Payment Amount |
18106.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
810 |
Number Of Medicare Beneficiaries With Medical Services |
372 |
Total Medical Submitted Charge Amount |
118663 |
Total Medical Medicare Allowed Amount |
48055.77 |
Total Medical Medicare Payment Amount |
36778.61 |
Total Medical Medicare Standardized Payment Amount |
43694.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
237 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
216 |
Number Of Black or African American Beneficiaries |
143 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
269 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9507 |