National Provider Identifier [NPI]: |
1346217395 |
Last Name Of The Provider |
WARD |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3600 FREDERICA ST |
Street Address 2 Of The Provider |
SUITE A & B |
City Of The Provider |
OWENSBORO |
Zip Code Of The Provider |
423016981 |
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 |
63 |
Number Of Services |
7069 |
Number Of Medicare Beneficiaries |
509 |
Total Submitted Charge Amount |
141962 |
Total Medicare Allowed Amount |
97751.69 |
Total Medicare Payment Amount |
68829.11 |
Total Medicare Standardized Payment Amount |
84984.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
4889 |
Number Of Medicare Beneficiaries With Drug Services |
296 |
Total Drug Submitted ChargeAmount |
11772 |
Total Drug Medicare AllowedAmount |
1924.98 |
Total Drug Medicare PaymentAmount |
1435.52 |
Total Drug Medicare Standardized Payment Amount |
1435.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2180 |
Number Of Medicare Beneficiaries With Medical Services |
509 |
Total Medical Submitted Charge Amount |
130190 |
Total Medical Medicare Allowed Amount |
95826.71 |
Total Medical Medicare Payment Amount |
67393.59 |
Total Medical Medicare Standardized Payment Amount |
83548.74 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
244 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
74 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
307 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
481 |
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 |
303 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9973 |