National Provider Identifier [NPI]: |
1306828942 |
Last Name Of The Provider |
BYRAM |
First Name Of The Provider |
BEVERLY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
APN, FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 PATTERSON ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372032119 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
304 |
Number Of Medicare Beneficiaries |
53 |
Total Submitted Charge Amount |
38758 |
Total Medicare Allowed Amount |
12726.9 |
Total Medicare Payment Amount |
7901.07 |
Total Medicare Standardized Payment Amount |
10701.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
107 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
3882 |
Total Drug Medicare AllowedAmount |
1214 |
Total Drug Medicare PaymentAmount |
1044.01 |
Total Drug Medicare Standardized Payment Amount |
1044.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
197 |
Number Of Medicare Beneficiaries With Medical Services |
53 |
Total Medical Submitted Charge Amount |
34876 |
Total Medical Medicare Allowed Amount |
11512.9 |
Total Medical Medicare Payment Amount |
6857.06 |
Total Medical Medicare Standardized Payment Amount |
9657.66 |
Average Age Of Beneficiaries |
47 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
23 |
Number Of Male Beneficiaries |
30 |
Number Of Non Hispanic White Beneficiaries |
31 |
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 |
13 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
0 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
32 |
Percent Of With Diabetes |
|
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
34 |
Percent Of With Ischemic Heart Disease |
|
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
|
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
0 |
Average HCC Risk Score Of Beneficiaries |
1.9967 |