National Provider Identifier [NPI]: |
1821221771 |
Last Name Of The Provider |
WINTERS |
First Name Of The Provider |
BRENDA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2011 W BROADWAY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SULPHUR |
Zip Code Of The Provider |
730864221 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
933 |
Number Of Medicare Beneficiaries |
229 |
Total Submitted Charge Amount |
67707.94 |
Total Medicare Allowed Amount |
37937.39 |
Total Medicare Payment Amount |
23086.34 |
Total Medicare Standardized Payment Amount |
32066.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
176 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
2346.44 |
Total Drug Medicare AllowedAmount |
398.22 |
Total Drug Medicare PaymentAmount |
290.7 |
Total Drug Medicare Standardized Payment Amount |
290.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
757 |
Number Of Medicare Beneficiaries With Medical Services |
229 |
Total Medical Submitted Charge Amount |
65361.5 |
Total Medical Medicare Allowed Amount |
37539.17 |
Total Medical Medicare Payment Amount |
22795.64 |
Total Medical Medicare Standardized Payment Amount |
31775.44 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
81 |
Number Of Beneficiaries Age 75 to 84 |
55 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
72 |
Number Of Non Hispanic White Beneficiaries |
210 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
142 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.947 |