National Provider Identifier [NPI]: |
1053421776 |
Last Name Of The Provider |
PEREIRA |
First Name Of The Provider |
BENVINDA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
F.N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
255 N. CENTRAL BLVD. |
Street Address 2 Of The Provider |
SUITE 7 |
City Of The Provider |
QUARTZSITE |
Zip Code Of The Provider |
853460000 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
1775 |
Number Of Medicare Beneficiaries |
367 |
Total Submitted Charge Amount |
135586.74 |
Total Medicare Allowed Amount |
72518.2 |
Total Medicare Payment Amount |
52503.76 |
Total Medicare Standardized Payment Amount |
62013.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
810 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
7476.74 |
Total Drug Medicare AllowedAmount |
337.47 |
Total Drug Medicare PaymentAmount |
269.35 |
Total Drug Medicare Standardized Payment Amount |
269.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
965 |
Number Of Medicare Beneficiaries With Medical Services |
366 |
Total Medical Submitted Charge Amount |
128110 |
Total Medical Medicare Allowed Amount |
72180.73 |
Total Medical Medicare Payment Amount |
52234.41 |
Total Medical Medicare Standardized Payment Amount |
61744.09 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
222 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
353 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
330 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9557 |