National Provider Identifier [NPI]: |
1194892398 |
Last Name Of The Provider |
NEWMAN |
First Name Of The Provider |
TAMATHA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
502 HOSPITAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAKDALE |
Zip Code Of The Provider |
714633043 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
1109 |
Number Of Medicare Beneficiaries |
243 |
Total Submitted Charge Amount |
113320 |
Total Medicare Allowed Amount |
61278.55 |
Total Medicare Payment Amount |
44048.4 |
Total Medicare Standardized Payment Amount |
56020.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
675 |
Total Drug Medicare AllowedAmount |
228.9 |
Total Drug Medicare PaymentAmount |
220.95 |
Total Drug Medicare Standardized Payment Amount |
220.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
1091 |
Number Of Medicare Beneficiaries With Medical Services |
242 |
Total Medical Submitted Charge Amount |
112645 |
Total Medical Medicare Allowed Amount |
61049.65 |
Total Medical Medicare Payment Amount |
43827.45 |
Total Medical Medicare Standardized Payment Amount |
55799.63 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
86 |
Number Of Beneficiaries Age 75 to 84 |
49 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
144 |
Number Of Male Beneficiaries |
99 |
Number Of Non Hispanic White Beneficiaries |
178 |
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 |
112 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.072 |