National Provider Identifier [NPI]: |
1689751281 |
Last Name Of The Provider |
STOWELL |
First Name Of The Provider |
KAYE |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1207 HIGHWAY 182 W |
Street Address 2 Of The Provider |
|
City Of The Provider |
STARKVILLE |
Zip Code Of The Provider |
397599820 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
2577 |
Number Of Medicare Beneficiaries |
482 |
Total Submitted Charge Amount |
216191 |
Total Medicare Allowed Amount |
43374.1 |
Total Medicare Payment Amount |
29638.56 |
Total Medicare Standardized Payment Amount |
37725.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1415 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
6626 |
Total Drug Medicare AllowedAmount |
523.54 |
Total Drug Medicare PaymentAmount |
300.32 |
Total Drug Medicare Standardized Payment Amount |
300.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1162 |
Number Of Medicare Beneficiaries With Medical Services |
482 |
Total Medical Submitted Charge Amount |
209565 |
Total Medical Medicare Allowed Amount |
42850.56 |
Total Medical Medicare Payment Amount |
29338.24 |
Total Medical Medicare Standardized Payment Amount |
37424.88 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
213 |
Number Of Beneficiaries Age 65 to 74 |
168 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
318 |
Number Of Male Beneficiaries |
164 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
282 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
261 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2185 |