National Provider Identifier [NPI]: |
1497088926 |
Last Name Of The Provider |
CHAPPELL |
First Name Of The Provider |
ALISON |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3800 RESERVOIR RD NW |
Street Address 2 Of The Provider |
BLES BUILDING |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200072113 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
391 |
Number Of Medicare Beneficiaries |
178 |
Total Submitted Charge Amount |
55232 |
Total Medicare Allowed Amount |
29437.85 |
Total Medicare Payment Amount |
21881.38 |
Total Medicare Standardized Payment Amount |
23128.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
41 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
2504 |
Total Drug Medicare AllowedAmount |
1571.94 |
Total Drug Medicare PaymentAmount |
1537.19 |
Total Drug Medicare Standardized Payment Amount |
1537.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
350 |
Number Of Medicare Beneficiaries With Medical Services |
178 |
Total Medical Submitted Charge Amount |
52728 |
Total Medical Medicare Allowed Amount |
27865.91 |
Total Medical Medicare Payment Amount |
20344.19 |
Total Medical Medicare Standardized Payment Amount |
21590.94 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
57 |
Number Of Beneficiaries Age 75 to 84 |
44 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
123 |
Number Of Male Beneficiaries |
55 |
Number Of Non Hispanic White Beneficiaries |
55 |
Number Of Black or African American Beneficiaries |
102 |
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 |
94 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5171 |