National Provider Identifier [NPI]: |
1689682353 |
Last Name Of The Provider |
THURMAN |
First Name Of The Provider |
REGINA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1708 E JOYCE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAYETTEVILLE |
Zip Code Of The Provider |
727035252 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
12265 |
Number Of Medicare Beneficiaries |
522 |
Total Submitted Charge Amount |
875314 |
Total Medicare Allowed Amount |
451393.31 |
Total Medicare Payment Amount |
374610.59 |
Total Medicare Standardized Payment Amount |
348823.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
95 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
704 |
Total Drug Medicare AllowedAmount |
321.92 |
Total Drug Medicare PaymentAmount |
241.25 |
Total Drug Medicare Standardized Payment Amount |
241.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
12170 |
Number Of Medicare Beneficiaries With Medical Services |
522 |
Total Medical Submitted Charge Amount |
874610 |
Total Medical Medicare Allowed Amount |
451071.39 |
Total Medical Medicare Payment Amount |
374369.34 |
Total Medical Medicare Standardized Payment Amount |
348582.43 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
367 |
Number Of Beneficiaries Age 65 to 74 |
122 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
348 |
Number Of Male Beneficiaries |
174 |
Number Of Non Hispanic White Beneficiaries |
482 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
272 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
250 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2761 |