National Provider Identifier [NPI]: |
1649290719 |
Last Name Of The Provider |
DEGRAAF-OLSON |
First Name Of The Provider |
WILMAJOAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
480 PLUMAS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
YUBA CITY |
Zip Code Of The Provider |
959915005 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
2402 |
Number Of Medicare Beneficiaries |
995 |
Total Submitted Charge Amount |
355744 |
Total Medicare Allowed Amount |
97054.61 |
Total Medicare Payment Amount |
66871.8 |
Total Medicare Standardized Payment Amount |
76986.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
743 |
Number Of Medicare Beneficiaries With Drug Services |
171 |
Total Drug Submitted ChargeAmount |
12562 |
Total Drug Medicare AllowedAmount |
843.05 |
Total Drug Medicare PaymentAmount |
636.72 |
Total Drug Medicare Standardized Payment Amount |
636.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1659 |
Number Of Medicare Beneficiaries With Medical Services |
995 |
Total Medical Submitted Charge Amount |
343182 |
Total Medical Medicare Allowed Amount |
96211.56 |
Total Medical Medicare Payment Amount |
66235.08 |
Total Medical Medicare Standardized Payment Amount |
76350.15 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
202 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
279 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
613 |
Number Of Male Beneficiaries |
382 |
Number Of Non Hispanic White Beneficiaries |
777 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
119 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
722 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
273 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2464 |