National Provider Identifier [NPI]: |
1427158187 |
Last Name Of The Provider |
STROUD |
First Name Of The Provider |
TAMARA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
APRN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
444 S MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISONVILLE |
Zip Code Of The Provider |
424312871 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
3694 |
Number Of Medicare Beneficiaries |
664 |
Total Submitted Charge Amount |
190684.5 |
Total Medicare Allowed Amount |
81648.26 |
Total Medicare Payment Amount |
55595.25 |
Total Medicare Standardized Payment Amount |
72014.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
1564 |
Number Of Medicare Beneficiaries With Drug Services |
271 |
Total Drug Submitted ChargeAmount |
11834 |
Total Drug Medicare AllowedAmount |
2302.45 |
Total Drug Medicare PaymentAmount |
1608.73 |
Total Drug Medicare Standardized Payment Amount |
1608.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
2130 |
Number Of Medicare Beneficiaries With Medical Services |
664 |
Total Medical Submitted Charge Amount |
178850.5 |
Total Medical Medicare Allowed Amount |
79345.81 |
Total Medical Medicare Payment Amount |
53986.52 |
Total Medical Medicare Standardized Payment Amount |
70405.53 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
314 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
423 |
Number Of Male Beneficiaries |
241 |
Number Of Non Hispanic White Beneficiaries |
638 |
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 |
538 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0193 |