National Provider Identifier [NPI]: |
1194936567 |
Last Name Of The Provider |
WAMAE-WANYOIKE |
First Name Of The Provider |
CHARITY |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
APN-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
111 CONTINENTAL DR |
Street Address 2 Of The Provider |
SUITE 406 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197134306 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
14 |
Number Of Services |
3550 |
Number Of Medicare Beneficiaries |
856 |
Total Submitted Charge Amount |
572577 |
Total Medicare Allowed Amount |
262712.29 |
Total Medicare Payment Amount |
196883.3 |
Total Medicare Standardized Payment Amount |
229406.33 |
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 |
14 |
Number Of Medical Services |
3550 |
Number Of Medicare Beneficiaries With Medical Services |
856 |
Total Medical Submitted Charge Amount |
572577 |
Total Medical Medicare Allowed Amount |
262712.29 |
Total Medical Medicare Payment Amount |
196883.3 |
Total Medical Medicare Standardized Payment Amount |
229406.33 |
Average Age Of Beneficiaries |
84 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
249 |
Number Of Beneficiaries Age Greater 84 |
484 |
Number Of Female Beneficiaries |
616 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
747 |
Number Of Black or African American Beneficiaries |
85 |
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 |
666 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
66 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.9904 |