Medicare Facts for Kerri A. Ervin, FNP


National Provider Identifier [NPI]: 1689914632
Last Name Of The Provider ERVIN
First Name Of The Provider KERRI
Middle Initial Of The Provider A
Credentials Of The Provider FNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 710 CARL PERKINS PKWY
Street Address 2 Of The Provider
City Of The Provider TIPTONVILLE
Zip Code Of The Provider 380791678
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 32
Number Of Services 246
Number Of Medicare Beneficiaries 82
Total Submitted Charge Amount 9350
Total Medicare Allowed Amount 2156.31
Total Medicare Payment Amount 1346.72
Total Medicare Standardized Payment Amount 1670.43
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 146
Number Of Medicare Beneficiaries With Drug Services 30
Total Drug Submitted ChargeAmount 1854
Total Drug Medicare AllowedAmount 136.3
Total Drug Medicare PaymentAmount 70.21
Total Drug Medicare Standardized Payment Amount 70.21
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 25
Number Of Medical Services 100
Number Of Medicare Beneficiaries With Medical Services 65
Total Medical Submitted Charge Amount 7496
Total Medical Medicare Allowed Amount 2020.01
Total Medical Medicare Payment Amount 1276.51
Total Medical Medicare Standardized Payment Amount 1600.22
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 21
Number Of Beneficiaries Age 65 to 74 37
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 51
Number Of Male Beneficiaries 31
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Only Entitlement 51
Number Of Beneficiaries With Medicare Medicaid Entitlement 31
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 26
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 45
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.2616

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