National Provider Identifier [NPI]: |
1720055890 |
Last Name Of The Provider |
TWARDOWSKI |
First Name Of The Provider |
DEBORAH |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
RN MSN CS |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
743 HORIZON CT |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
GRAND JUNCTION |
Zip Code Of The Provider |
815068701 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
1522 |
Number Of Medicare Beneficiaries |
230 |
Total Submitted Charge Amount |
97367 |
Total Medicare Allowed Amount |
46843.27 |
Total Medicare Payment Amount |
34602.4 |
Total Medicare Standardized Payment Amount |
39194.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
869 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
15597 |
Total Drug Medicare AllowedAmount |
12735.75 |
Total Drug Medicare PaymentAmount |
10029.44 |
Total Drug Medicare Standardized Payment Amount |
10029.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
653 |
Number Of Medicare Beneficiaries With Medical Services |
230 |
Total Medical Submitted Charge Amount |
81770 |
Total Medical Medicare Allowed Amount |
34107.52 |
Total Medical Medicare Payment Amount |
24572.96 |
Total Medical Medicare Standardized Payment Amount |
29165.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
160 |
Number Of Male Beneficiaries |
70 |
Number Of Non Hispanic White Beneficiaries |
219 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
201 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9479 |