National Provider Identifier [NPI]: |
1114152931 |
Last Name Of The Provider |
WOODEN |
First Name Of The Provider |
CHRISTENE |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
APRN, ANP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 MCMILLAN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST MONROE |
Zip Code Of The Provider |
712915327 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
2406 |
Number Of Medicare Beneficiaries |
374 |
Total Submitted Charge Amount |
170830 |
Total Medicare Allowed Amount |
99234.48 |
Total Medicare Payment Amount |
72797.6 |
Total Medicare Standardized Payment Amount |
93997.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
699 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
13356 |
Total Drug Medicare AllowedAmount |
3960.29 |
Total Drug Medicare PaymentAmount |
3393.14 |
Total Drug Medicare Standardized Payment Amount |
3393.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1707 |
Number Of Medicare Beneficiaries With Medical Services |
374 |
Total Medical Submitted Charge Amount |
157474 |
Total Medical Medicare Allowed Amount |
95274.19 |
Total Medical Medicare Payment Amount |
69404.46 |
Total Medical Medicare Standardized Payment Amount |
90604.11 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
243 |
Number Of Male Beneficiaries |
131 |
Number Of Non Hispanic White Beneficiaries |
336 |
Number Of Black or African American Beneficiaries |
|
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 |
306 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2658 |