| National Provider Identifier [NPI]: | 1225325483 |
| Last Name Of The Provider | WALKER |
| First Name Of The Provider | LATOSHA |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | FNP-BC |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 615 DERBY ST |
| Street Address 2 Of The Provider | ATTENTION: HCS HI&R |
| City Of The Provider | CHATTANOOGA |
| Zip Code Of The Provider | 374041632 |
| 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 | 49 |
| Number Of Services | 4615 |
| Number Of Medicare Beneficiaries | 270 |
| Total Submitted Charge Amount | 206188.42 |
| Total Medicare Allowed Amount | 110138.76 |
| Total Medicare Payment Amount | 90047.45 |
| Total Medicare Standardized Payment Amount | 109275.07 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 454 |
| Number Of Medicare Beneficiaries With Drug Services | 225 |
| Total Drug Submitted ChargeAmount | 10205 |
| Total Drug Medicare AllowedAmount | 6795.49 |
| Total Drug Medicare PaymentAmount | 6537.74 |
| Total Drug Medicare Standardized Payment Amount | 6537.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 41 |
| Number Of Medical Services | 4161 |
| Number Of Medicare Beneficiaries With Medical Services | 270 |
| Total Medical Submitted Charge Amount | 195983.42 |
| Total Medical Medicare Allowed Amount | 103343.27 |
| Total Medical Medicare Payment Amount | 83509.71 |
| Total Medical Medicare Standardized Payment Amount | 102737.33 |
| Average Age Of Beneficiaries | 53 |
| Number Of Beneficiaries Age Less65 | 222 |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 112 |
| Number Of Male Beneficiaries | 158 |
| Number Of Non Hispanic White Beneficiaries | 217 |
| 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 | |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | 4 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 19 |
| Percent Of With Hyperlipidemia | 34 |
| Percent Of With Hypertension | 30 |
| Percent Of With Ischemic Heart Disease | 4 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 9 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 15 |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 0.936 |