National Provider Identifier [NPI]: |
1922094457 |
Last Name Of The Provider |
THOMPSON |
First Name Of The Provider |
RUTH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2004 N HIGHWAY 81 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUNCAN |
Zip Code Of The Provider |
735331460 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
2023 |
Number Of Medicare Beneficiaries |
292 |
Total Submitted Charge Amount |
123825.24 |
Total Medicare Allowed Amount |
80264.18 |
Total Medicare Payment Amount |
52208.94 |
Total Medicare Standardized Payment Amount |
69736.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
363 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
3818.24 |
Total Drug Medicare AllowedAmount |
1543.97 |
Total Drug Medicare PaymentAmount |
1232.02 |
Total Drug Medicare Standardized Payment Amount |
1232.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
1660 |
Number Of Medicare Beneficiaries With Medical Services |
292 |
Total Medical Submitted Charge Amount |
120007 |
Total Medical Medicare Allowed Amount |
78720.21 |
Total Medical Medicare Payment Amount |
50976.92 |
Total Medical Medicare Standardized Payment Amount |
68503.99 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
170 |
Number Of Male Beneficiaries |
122 |
Number Of Non Hispanic White Beneficiaries |
280 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
198 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1876 |