National Provider Identifier [NPI]: |
1831397900 |
Last Name Of The Provider |
BROGLEY |
First Name Of The Provider |
SHIRLEY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
APRN,BC-PCM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4755 OGLETOWN STANTON RD |
Street Address 2 Of The Provider |
SUITE 6E88 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
19718 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
8 |
Number Of Services |
536 |
Number Of Medicare Beneficiaries |
260 |
Total Submitted Charge Amount |
139810.74 |
Total Medicare Allowed Amount |
45570.29 |
Total Medicare Payment Amount |
35420.69 |
Total Medicare Standardized Payment Amount |
41364.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
536 |
Number Of Medicare Beneficiaries With Medical Services |
260 |
Total Medical Submitted Charge Amount |
139810.74 |
Total Medical Medicare Allowed Amount |
45570.29 |
Total Medical Medicare Payment Amount |
35420.69 |
Total Medical Medicare Standardized Payment Amount |
41364.5 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
57 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
103 |
Number Of Non Hispanic White Beneficiaries |
185 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
169 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
67 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
3.1662 |