National Provider Identifier [NPI]: |
1982869715 |
Last Name Of The Provider |
ABLASEAU |
First Name Of The Provider |
RALPH |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
NP-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
263 MCLAWS CIRCLE |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
WILLIAMSBURG |
Zip Code Of The Provider |
231855629 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2624 |
Number Of Medicare Beneficiaries |
456 |
Total Submitted Charge Amount |
330116.85 |
Total Medicare Allowed Amount |
240503.85 |
Total Medicare Payment Amount |
182265.7 |
Total Medicare Standardized Payment Amount |
219122.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
85 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
1413.63 |
Total Drug Medicare AllowedAmount |
1288.22 |
Total Drug Medicare PaymentAmount |
1257.79 |
Total Drug Medicare Standardized Payment Amount |
1257.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2539 |
Number Of Medicare Beneficiaries With Medical Services |
456 |
Total Medical Submitted Charge Amount |
328703.22 |
Total Medical Medicare Allowed Amount |
239215.63 |
Total Medical Medicare Payment Amount |
181007.91 |
Total Medical Medicare Standardized Payment Amount |
217864.86 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
68 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
284 |
Number Of Male Beneficiaries |
172 |
Number Of Non Hispanic White Beneficiaries |
298 |
Number Of Black or African American Beneficiaries |
141 |
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 |
267 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
189 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
52 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.0934 |