National Provider Identifier [NPI]: |
1619911674 |
Last Name Of The Provider |
ASHLEY |
First Name Of The Provider |
BARBARA |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
227 SAINT PAUL PL |
Street Address 2 Of The Provider |
5TH FLOOR |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212022001 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
5 |
Number Of Services |
940 |
Number Of Medicare Beneficiaries |
851 |
Total Submitted Charge Amount |
170983.98 |
Total Medicare Allowed Amount |
48528.29 |
Total Medicare Payment Amount |
32360.69 |
Total Medicare Standardized Payment Amount |
37036.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
5 |
Number Of Medical Services |
940 |
Number Of Medicare Beneficiaries With Medical Services |
851 |
Total Medical Submitted Charge Amount |
170983.98 |
Total Medical Medicare Allowed Amount |
48528.29 |
Total Medical Medicare Payment Amount |
32360.69 |
Total Medical Medicare Standardized Payment Amount |
37036.17 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
503 |
Number Of Beneficiaries Age 75 to 84 |
241 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
620 |
Number Of Black or African American Beneficiaries |
210 |
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 |
791 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
58 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9135 |