National Provider Identifier [NPI]: |
1851359202 |
Last Name Of The Provider |
ROBB |
First Name Of The Provider |
DONNA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
APN, C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
223 GIBBSBORO RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEMENTON |
Zip Code Of The Provider |
080214135 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
725 |
Number Of Medicare Beneficiaries |
164 |
Total Submitted Charge Amount |
89062 |
Total Medicare Allowed Amount |
53201.02 |
Total Medicare Payment Amount |
40634.75 |
Total Medicare Standardized Payment Amount |
44667.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
2668 |
Total Drug Medicare AllowedAmount |
975.34 |
Total Drug Medicare PaymentAmount |
955.9 |
Total Drug Medicare Standardized Payment Amount |
955.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
660 |
Number Of Medicare Beneficiaries With Medical Services |
164 |
Total Medical Submitted Charge Amount |
86394 |
Total Medical Medicare Allowed Amount |
52225.68 |
Total Medical Medicare Payment Amount |
39678.85 |
Total Medical Medicare Standardized Payment Amount |
43712.06 |
Average Age Of Beneficiaries |
51 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
57 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
120 |
Number Of Black or African American Beneficiaries |
33 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
7 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
13 |
Percent Of With Schizophrenia Other PsychoticDisorders |
24 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8729 |