National Provider Identifier [NPI]: |
1326399973 |
Last Name Of The Provider |
PERKINS |
First Name Of The Provider |
SAVANNAH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
CFNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
670 LEIGH DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
397053014 |
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 |
75 |
Number Of Services |
5657 |
Number Of Medicare Beneficiaries |
905 |
Total Submitted Charge Amount |
751446.12 |
Total Medicare Allowed Amount |
233325.5 |
Total Medicare Payment Amount |
171776.78 |
Total Medicare Standardized Payment Amount |
204031.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1540 |
Number Of Medicare Beneficiaries With Drug Services |
516 |
Total Drug Submitted ChargeAmount |
149226.12 |
Total Drug Medicare AllowedAmount |
71215.16 |
Total Drug Medicare PaymentAmount |
54578.12 |
Total Drug Medicare Standardized Payment Amount |
54578.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
4117 |
Number Of Medicare Beneficiaries With Medical Services |
903 |
Total Medical Submitted Charge Amount |
602220 |
Total Medical Medicare Allowed Amount |
162110.34 |
Total Medical Medicare Payment Amount |
117198.66 |
Total Medical Medicare Standardized Payment Amount |
149452.89 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
340 |
Number Of Beneficiaries Age 75 to 84 |
275 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
641 |
Number Of Male Beneficiaries |
264 |
Number Of Non Hispanic White Beneficiaries |
678 |
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 |
626 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
279 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1287 |