National Provider Identifier [NPI]: |
1932274057 |
Last Name Of The Provider |
FRANCIS |
First Name Of The Provider |
CHERISE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
34456 CALLE PORTOLA |
Street Address 2 Of The Provider |
|
City Of The Provider |
CAPISTRANO BEACH |
Zip Code Of The Provider |
926241054 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
5533 |
Number Of Medicare Beneficiaries |
938 |
Total Submitted Charge Amount |
798720 |
Total Medicare Allowed Amount |
447236.06 |
Total Medicare Payment Amount |
339311.39 |
Total Medicare Standardized Payment Amount |
376741.26 |
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 |
9 |
Number Of Medical Services |
5533 |
Number Of Medicare Beneficiaries With Medical Services |
938 |
Total Medical Submitted Charge Amount |
798720 |
Total Medical Medicare Allowed Amount |
447236.06 |
Total Medical Medicare Payment Amount |
339311.39 |
Total Medical Medicare Standardized Payment Amount |
376741.26 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
204 |
Number Of Beneficiaries Age 65 to 74 |
217 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
561 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
489 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
193 |
Number Of Hispanic Beneficiaries |
163 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
51 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
887 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
65 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
66 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.7579 |