National Provider Identifier [NPI]: |
1265866362 |
Last Name Of The Provider |
BUSCHUR |
First Name Of The Provider |
AMY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1299 E ALEX BELL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CENTERVILLE |
Zip Code Of The Provider |
454592658 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
1092 |
Number Of Medicare Beneficiaries |
335 |
Total Submitted Charge Amount |
88751.93 |
Total Medicare Allowed Amount |
48920.8 |
Total Medicare Payment Amount |
35064.68 |
Total Medicare Standardized Payment Amount |
42881.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
98 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
284 |
Total Drug Medicare AllowedAmount |
173.74 |
Total Drug Medicare PaymentAmount |
129.98 |
Total Drug Medicare Standardized Payment Amount |
129.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
994 |
Number Of Medicare Beneficiaries With Medical Services |
335 |
Total Medical Submitted Charge Amount |
88467.93 |
Total Medical Medicare Allowed Amount |
48747.06 |
Total Medical Medicare Payment Amount |
34934.7 |
Total Medical Medicare Standardized Payment Amount |
42751.04 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
82 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
207 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
322 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8567 |