National Provider Identifier [NPI]: |
1932424165 |
Last Name Of The Provider |
DAIGLE |
First Name Of The Provider |
LINSEY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1234 DAVID DR # 2 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MORGAN CITY |
Zip Code Of The Provider |
703801300 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1303 |
Number Of Medicare Beneficiaries |
279 |
Total Submitted Charge Amount |
153779 |
Total Medicare Allowed Amount |
57697.57 |
Total Medicare Payment Amount |
40463.91 |
Total Medicare Standardized Payment Amount |
52099.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
405 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
6150 |
Total Drug Medicare AllowedAmount |
1658.08 |
Total Drug Medicare PaymentAmount |
1325.17 |
Total Drug Medicare Standardized Payment Amount |
1325.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
898 |
Number Of Medicare Beneficiaries With Medical Services |
279 |
Total Medical Submitted Charge Amount |
147629 |
Total Medical Medicare Allowed Amount |
56039.49 |
Total Medical Medicare Payment Amount |
39138.74 |
Total Medical Medicare Standardized Payment Amount |
50774.75 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
85 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
172 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
234 |
Number Of Black or African American Beneficiaries |
29 |
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 |
125 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5452 |