National Provider Identifier [NPI]: |
1679801955 |
Last Name Of The Provider |
ARIEAS |
First Name Of The Provider |
ERIN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
ANP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8120 TIMBERLAKE WAY |
Street Address 2 Of The Provider |
SUITE 107 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958235412 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
657 |
Number Of Medicare Beneficiaries |
270 |
Total Submitted Charge Amount |
140882.2 |
Total Medicare Allowed Amount |
39500.81 |
Total Medicare Payment Amount |
26692.13 |
Total Medicare Standardized Payment Amount |
31377.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
2649 |
Total Drug Medicare AllowedAmount |
763.27 |
Total Drug Medicare PaymentAmount |
742.63 |
Total Drug Medicare Standardized Payment Amount |
742.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
609 |
Number Of Medicare Beneficiaries With Medical Services |
270 |
Total Medical Submitted Charge Amount |
138233.2 |
Total Medical Medicare Allowed Amount |
38737.54 |
Total Medical Medicare Payment Amount |
25949.5 |
Total Medical Medicare Standardized Payment Amount |
30635 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
77 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
166 |
Number Of Male Beneficiaries |
104 |
Number Of Non Hispanic White Beneficiaries |
140 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
49 |
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 |
141 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4015 |