National Provider Identifier [NPI]: |
1871545483 |
Last Name Of The Provider |
TOMLINSON |
First Name Of The Provider |
DEBBIE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
ARNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3520 LAKIN AVE |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
GREAT BEND |
Zip Code Of The Provider |
675303660 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
666 |
Number Of Medicare Beneficiaries |
213 |
Total Submitted Charge Amount |
61054 |
Total Medicare Allowed Amount |
27863.33 |
Total Medicare Payment Amount |
18983.34 |
Total Medicare Standardized Payment Amount |
24687.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
118 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
1752 |
Total Drug Medicare AllowedAmount |
228.13 |
Total Drug Medicare PaymentAmount |
147.42 |
Total Drug Medicare Standardized Payment Amount |
147.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
548 |
Number Of Medicare Beneficiaries With Medical Services |
213 |
Total Medical Submitted Charge Amount |
59302 |
Total Medical Medicare Allowed Amount |
27635.2 |
Total Medical Medicare Payment Amount |
18835.92 |
Total Medical Medicare Standardized Payment Amount |
24539.93 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
79 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
145 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
199 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
173 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3004 |