National Provider Identifier [NPI]: |
1952497182 |
Last Name Of The Provider |
MIHAILOVICI |
First Name Of The Provider |
GEORGETA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17220 N BOSWELL BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SUN CITY |
Zip Code Of The Provider |
853732000 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
282 |
Number Of Medicare Beneficiaries |
130 |
Total Submitted Charge Amount |
41222.22 |
Total Medicare Allowed Amount |
35120.8 |
Total Medicare Payment Amount |
27498.82 |
Total Medicare Standardized Payment Amount |
32460.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
144.52 |
Total Drug Medicare AllowedAmount |
144.52 |
Total Drug Medicare PaymentAmount |
141.64 |
Total Drug Medicare Standardized Payment Amount |
141.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
266 |
Number Of Medicare Beneficiaries With Medical Services |
130 |
Total Medical Submitted Charge Amount |
41077.7 |
Total Medical Medicare Allowed Amount |
34976.28 |
Total Medical Medicare Payment Amount |
27357.18 |
Total Medical Medicare Standardized Payment Amount |
32318.59 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
34 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
89 |
Number Of Male Beneficiaries |
41 |
Number Of Non Hispanic White Beneficiaries |
118 |
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 |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
108 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
72 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9396 |