National Provider Identifier [NPI]: |
1629022389 |
Last Name Of The Provider |
ALMANZA |
First Name Of The Provider |
JULIANA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2699 ATLANTIC AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LONG BEACH |
Zip Code Of The Provider |
908062710 |
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 |
40 |
Number Of Services |
580 |
Number Of Medicare Beneficiaries |
153 |
Total Submitted Charge Amount |
47627 |
Total Medicare Allowed Amount |
28853.25 |
Total Medicare Payment Amount |
21493.9 |
Total Medicare Standardized Payment Amount |
22934.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
97 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
3124 |
Total Drug Medicare AllowedAmount |
2132.69 |
Total Drug Medicare PaymentAmount |
2083.93 |
Total Drug Medicare Standardized Payment Amount |
2083.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
483 |
Number Of Medicare Beneficiaries With Medical Services |
153 |
Total Medical Submitted Charge Amount |
44503 |
Total Medical Medicare Allowed Amount |
26720.56 |
Total Medical Medicare Payment Amount |
19409.97 |
Total Medical Medicare Standardized Payment Amount |
20850.15 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
73 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
94 |
Number Of Male Beneficiaries |
59 |
Number Of Non Hispanic White Beneficiaries |
104 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
130 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2581 |