National Provider Identifier [NPI]: |
1720088560 |
Last Name Of The Provider |
AYERLE |
First Name Of The Provider |
ROSEMARY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
C.R.N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4201 MITCHELLVILLE RD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
BOWIE |
Zip Code Of The Provider |
207163163 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
1575 |
Number Of Medicare Beneficiaries |
181 |
Total Submitted Charge Amount |
92871 |
Total Medicare Allowed Amount |
48182.21 |
Total Medicare Payment Amount |
37775.92 |
Total Medicare Standardized Payment Amount |
38711.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
2625 |
Total Drug Medicare AllowedAmount |
1870.61 |
Total Drug Medicare PaymentAmount |
1828 |
Total Drug Medicare Standardized Payment Amount |
1828 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
1514 |
Number Of Medicare Beneficiaries With Medical Services |
181 |
Total Medical Submitted Charge Amount |
90246 |
Total Medical Medicare Allowed Amount |
46311.6 |
Total Medical Medicare Payment Amount |
35947.92 |
Total Medical Medicare Standardized Payment Amount |
36883.93 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
137 |
Number Of Male Beneficiaries |
44 |
Number Of Non Hispanic White Beneficiaries |
150 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
12 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7618 |