National Provider Identifier [NPI]: |
1912008251 |
Last Name Of The Provider |
THURMAN |
First Name Of The Provider |
CHERYL |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
FNP, NP-C, ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4003 KRESGE WAY |
Street Address 2 Of The Provider |
SUITE 228 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402074652 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
737 |
Number Of Medicare Beneficiaries |
184 |
Total Submitted Charge Amount |
78381 |
Total Medicare Allowed Amount |
39801.61 |
Total Medicare Payment Amount |
26140.1 |
Total Medicare Standardized Payment Amount |
34315.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
71 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
2523 |
Total Drug Medicare AllowedAmount |
1673.48 |
Total Drug Medicare PaymentAmount |
1626.07 |
Total Drug Medicare Standardized Payment Amount |
1626.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
666 |
Number Of Medicare Beneficiaries With Medical Services |
184 |
Total Medical Submitted Charge Amount |
75858 |
Total Medical Medicare Allowed Amount |
38128.13 |
Total Medical Medicare Payment Amount |
24514.03 |
Total Medical Medicare Standardized Payment Amount |
32689.74 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
82 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
129 |
Number Of Male Beneficiaries |
55 |
Number Of Non Hispanic White Beneficiaries |
164 |
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 |
173 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9859 |