National Provider Identifier [NPI]: |
1750716692 |
Last Name Of The Provider |
OVERSTREET |
First Name Of The Provider |
REBEKAH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
807 W LAKESHORE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
STARKVILLE |
Zip Code Of The Provider |
397596352 |
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 |
116 |
Number Of Services |
8286 |
Number Of Medicare Beneficiaries |
702 |
Total Submitted Charge Amount |
242040 |
Total Medicare Allowed Amount |
134530.34 |
Total Medicare Payment Amount |
102814.07 |
Total Medicare Standardized Payment Amount |
128802.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
25 |
Number Of Drug Services |
3855 |
Number Of Medicare Beneficiaries With Drug Services |
355 |
Total Drug Submitted ChargeAmount |
15133 |
Total Drug Medicare AllowedAmount |
3538.36 |
Total Drug Medicare PaymentAmount |
2771.77 |
Total Drug Medicare Standardized Payment Amount |
2771.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
4431 |
Number Of Medicare Beneficiaries With Medical Services |
699 |
Total Medical Submitted Charge Amount |
226907 |
Total Medical Medicare Allowed Amount |
130991.98 |
Total Medical Medicare Payment Amount |
100042.3 |
Total Medical Medicare Standardized Payment Amount |
126030.48 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
233 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
438 |
Number Of Male Beneficiaries |
264 |
Number Of Non Hispanic White Beneficiaries |
508 |
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 |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
379 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3402 |