National Provider Identifier [NPI]: |
1265411870 |
Last Name Of The Provider |
LANCASTER |
First Name Of The Provider |
RENEE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
ARNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
875 MILITARY TRL |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
JUPITER |
Zip Code Of The Provider |
334585700 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
587 |
Number Of Medicare Beneficiaries |
229 |
Total Submitted Charge Amount |
64965 |
Total Medicare Allowed Amount |
30680.95 |
Total Medicare Payment Amount |
23479.83 |
Total Medicare Standardized Payment Amount |
26013.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
82 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
13120 |
Total Drug Medicare AllowedAmount |
2666.52 |
Total Drug Medicare PaymentAmount |
2020.26 |
Total Drug Medicare Standardized Payment Amount |
2020.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
505 |
Number Of Medicare Beneficiaries With Medical Services |
229 |
Total Medical Submitted Charge Amount |
51845 |
Total Medical Medicare Allowed Amount |
28014.43 |
Total Medical Medicare Payment Amount |
21459.57 |
Total Medical Medicare Standardized Payment Amount |
23993.59 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
93 |
Number Of Beneficiaries Age 75 to 84 |
64 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
156 |
Number Of Male Beneficiaries |
73 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
218 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4236 |