National Provider Identifier [NPI]: |
1518392158 |
Last Name Of The Provider |
BONDI |
First Name Of The Provider |
NOEL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
NP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 RUSSELL ST |
Street Address 2 Of The Provider |
SUITE 3 |
City Of The Provider |
STARKVILLE |
Zip Code Of The Provider |
397593413 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
3309 |
Number Of Medicare Beneficiaries |
529 |
Total Submitted Charge Amount |
166070 |
Total Medicare Allowed Amount |
59520.32 |
Total Medicare Payment Amount |
41144.61 |
Total Medicare Standardized Payment Amount |
53609.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
1811 |
Number Of Medicare Beneficiaries With Drug Services |
247 |
Total Drug Submitted ChargeAmount |
13281 |
Total Drug Medicare AllowedAmount |
1368.73 |
Total Drug Medicare PaymentAmount |
1106.27 |
Total Drug Medicare Standardized Payment Amount |
1106.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
1498 |
Number Of Medicare Beneficiaries With Medical Services |
519 |
Total Medical Submitted Charge Amount |
152789 |
Total Medical Medicare Allowed Amount |
58151.59 |
Total Medical Medicare Payment Amount |
40038.34 |
Total Medical Medicare Standardized Payment Amount |
52503.27 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
194 |
Number Of Non Hispanic White Beneficiaries |
317 |
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 |
354 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.81 |