National Provider Identifier [NPI]: |
1578680997 |
Last Name Of The Provider |
BRIGHTMAN |
First Name Of The Provider |
JANICE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
F.N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3413 HARVEST DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GORDONVILLE |
Zip Code Of The Provider |
17529 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
621 |
Number Of Medicare Beneficiaries |
266 |
Total Submitted Charge Amount |
65621 |
Total Medicare Allowed Amount |
28791.91 |
Total Medicare Payment Amount |
22754.01 |
Total Medicare Standardized Payment Amount |
27270.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
64 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
3803 |
Total Drug Medicare AllowedAmount |
1836.02 |
Total Drug Medicare PaymentAmount |
1757.74 |
Total Drug Medicare Standardized Payment Amount |
1757.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
557 |
Number Of Medicare Beneficiaries With Medical Services |
266 |
Total Medical Submitted Charge Amount |
61818 |
Total Medical Medicare Allowed Amount |
26955.89 |
Total Medical Medicare Payment Amount |
20996.27 |
Total Medical Medicare Standardized Payment Amount |
25512.56 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
118 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
188 |
Number Of Male Beneficiaries |
78 |
Number Of Non Hispanic White Beneficiaries |
252 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
250 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9511 |