National Provider Identifier [NPI]: |
1952362683 |
Last Name Of The Provider |
GEARY |
First Name Of The Provider |
ANNETTE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
FNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3812 PHEASANT LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
WATERLOO |
Zip Code Of The Provider |
507015200 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
3798 |
Number Of Medicare Beneficiaries |
977 |
Total Submitted Charge Amount |
226203.61 |
Total Medicare Allowed Amount |
179519.09 |
Total Medicare Payment Amount |
124524.92 |
Total Medicare Standardized Payment Amount |
164835.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
262 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
1057.27 |
Total Drug Medicare AllowedAmount |
1031.36 |
Total Drug Medicare PaymentAmount |
770.17 |
Total Drug Medicare Standardized Payment Amount |
770.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
3536 |
Number Of Medicare Beneficiaries With Medical Services |
977 |
Total Medical Submitted Charge Amount |
225146.34 |
Total Medical Medicare Allowed Amount |
178487.73 |
Total Medical Medicare Payment Amount |
123754.75 |
Total Medical Medicare Standardized Payment Amount |
164064.97 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
462 |
Number Of Beneficiaries Age 75 to 84 |
330 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
554 |
Number Of Male Beneficiaries |
423 |
Number Of Non Hispanic White Beneficiaries |
955 |
Number Of Black or African American Beneficiaries |
|
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 |
934 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9692 |