National Provider Identifier [NPI]: |
1528052644 |
Last Name Of The Provider |
NABORS |
First Name Of The Provider |
CHERYL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
128 N WHITNEY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
COOKEVILLE |
Zip Code Of The Provider |
385012450 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
608 |
Number Of Medicare Beneficiaries |
146 |
Total Submitted Charge Amount |
84687 |
Total Medicare Allowed Amount |
41756.2 |
Total Medicare Payment Amount |
26751.78 |
Total Medicare Standardized Payment Amount |
30063.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
2881 |
Total Drug Medicare AllowedAmount |
1030.79 |
Total Drug Medicare PaymentAmount |
981.89 |
Total Drug Medicare Standardized Payment Amount |
981.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
555 |
Number Of Medicare Beneficiaries With Medical Services |
146 |
Total Medical Submitted Charge Amount |
81806 |
Total Medical Medicare Allowed Amount |
40725.41 |
Total Medical Medicare Payment Amount |
25769.89 |
Total Medical Medicare Standardized Payment Amount |
29081.52 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
58 |
Number Of Beneficiaries Age 75 to 84 |
31 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
121 |
Number Of Male Beneficiaries |
25 |
Number Of Non Hispanic White Beneficiaries |
102 |
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 |
122 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0294 |