National Provider Identifier [NPI]: |
1942365440 |
Last Name Of The Provider |
DELONEY |
First Name Of The Provider |
MARVA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
CRNA |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3401 SPRINGHILL DR STE 155 |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH LITTLE ROCK |
Zip Code Of The Provider |
721172934 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
CRNA |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
2 |
Number Of Services |
1151 |
Number Of Medicare Beneficiaries |
1030 |
Total Submitted Charge Amount |
747300 |
Total Medicare Allowed Amount |
167821.6 |
Total Medicare Payment Amount |
124952.11 |
Total Medicare Standardized Payment Amount |
124489.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
2 |
Number Of Medical Services |
1151 |
Number Of Medicare Beneficiaries With Medical Services |
1030 |
Total Medical Submitted Charge Amount |
747300 |
Total Medical Medicare Allowed Amount |
167821.6 |
Total Medical Medicare Payment Amount |
124952.11 |
Total Medical Medicare Standardized Payment Amount |
124489.31 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
676 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
546 |
Number Of Male Beneficiaries |
484 |
Number Of Non Hispanic White Beneficiaries |
949 |
Number Of Black or African American Beneficiaries |
44 |
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 |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
960 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8374 |