National Provider Identifier [NPI]: |
1538277017 |
Last Name Of The Provider |
BAGLIERI |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
239 HURFFVILLE CROSSKEYS RD |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
SEWELL |
Zip Code Of The Provider |
080804002 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
494 |
Number Of Medicare Beneficiaries |
265 |
Total Submitted Charge Amount |
67540 |
Total Medicare Allowed Amount |
34472.67 |
Total Medicare Payment Amount |
26392.48 |
Total Medicare Standardized Payment Amount |
29055.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
2010 |
Total Drug Medicare AllowedAmount |
1122.09 |
Total Drug Medicare PaymentAmount |
1098.68 |
Total Drug Medicare Standardized Payment Amount |
1098.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
469 |
Number Of Medicare Beneficiaries With Medical Services |
265 |
Total Medical Submitted Charge Amount |
65530 |
Total Medical Medicare Allowed Amount |
33350.58 |
Total Medical Medicare Payment Amount |
25293.8 |
Total Medical Medicare Standardized Payment Amount |
27957.06 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
61 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
169 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
223 |
Number Of Black or African American Beneficiaries |
29 |
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 |
224 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0617 |