National Provider Identifier [NPI]: |
1912924531 |
Last Name Of The Provider |
PHILLIPS |
First Name Of The Provider |
CATHY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
RN, MSN, APN-BC, CEN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
411 W RANDOLPH RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOPEWELL |
Zip Code Of The Provider |
238602938 |
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 |
77 |
Number Of Services |
816 |
Number Of Medicare Beneficiaries |
540 |
Total Submitted Charge Amount |
438828 |
Total Medicare Allowed Amount |
71574.41 |
Total Medicare Payment Amount |
53983.13 |
Total Medicare Standardized Payment Amount |
65136.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
208 |
Total Drug Medicare AllowedAmount |
116.74 |
Total Drug Medicare PaymentAmount |
91.54 |
Total Drug Medicare Standardized Payment Amount |
91.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
800 |
Number Of Medicare Beneficiaries With Medical Services |
540 |
Total Medical Submitted Charge Amount |
438620 |
Total Medical Medicare Allowed Amount |
71457.67 |
Total Medical Medicare Payment Amount |
53891.59 |
Total Medical Medicare Standardized Payment Amount |
65045.28 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
350 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
377 |
Number Of Black or African American Beneficiaries |
151 |
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 |
417 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5108 |