National Provider Identifier [NPI]: |
1457529661 |
Last Name Of The Provider |
LUCAS |
First Name Of The Provider |
CHRISTY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
APN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
104 E MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HALLS |
Zip Code Of The Provider |
380401523 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
4185.5 |
Number Of Medicare Beneficiaries |
419 |
Total Submitted Charge Amount |
157986.12 |
Total Medicare Allowed Amount |
84375.1 |
Total Medicare Payment Amount |
61141.84 |
Total Medicare Standardized Payment Amount |
76481.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1954.5 |
Number Of Medicare Beneficiaries With Drug Services |
206 |
Total Drug Submitted ChargeAmount |
19980 |
Total Drug Medicare AllowedAmount |
1227.05 |
Total Drug Medicare PaymentAmount |
933.8 |
Total Drug Medicare Standardized Payment Amount |
933.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
2231 |
Number Of Medicare Beneficiaries With Medical Services |
419 |
Total Medical Submitted Charge Amount |
138006.12 |
Total Medical Medicare Allowed Amount |
83148.05 |
Total Medical Medicare Payment Amount |
60208.04 |
Total Medical Medicare Standardized Payment Amount |
75547.57 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
372 |
Number Of Black or African American Beneficiaries |
28 |
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 |
383 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8602 |