National Provider Identifier [NPI]: |
1962837450 |
Last Name Of The Provider |
KNOTT |
First Name Of The Provider |
MELINDA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
APRN-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
193 JIM ADAMS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PARIS |
Zip Code Of The Provider |
382424965 |
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 |
86 |
Number Of Services |
1629 |
Number Of Medicare Beneficiaries |
193 |
Total Submitted Charge Amount |
82604 |
Total Medicare Allowed Amount |
33430.43 |
Total Medicare Payment Amount |
23595.95 |
Total Medicare Standardized Payment Amount |
29697.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
603 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
8104 |
Total Drug Medicare AllowedAmount |
413.48 |
Total Drug Medicare PaymentAmount |
319.21 |
Total Drug Medicare Standardized Payment Amount |
319.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
1026 |
Number Of Medicare Beneficiaries With Medical Services |
193 |
Total Medical Submitted Charge Amount |
74500 |
Total Medical Medicare Allowed Amount |
33016.95 |
Total Medical Medicare Payment Amount |
23276.74 |
Total Medical Medicare Standardized Payment Amount |
29378.71 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
62 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
118 |
Number Of Male Beneficiaries |
75 |
Number Of Non Hispanic White Beneficiaries |
158 |
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 |
80 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
8 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1528 |