National Provider Identifier [NPI]: |
1487830048 |
Last Name Of The Provider |
ROMANI |
First Name Of The Provider |
CHRISTINE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 MEDICAL VILLAGE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
EDGEWOOD |
Zip Code Of The Provider |
410173403 |
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 |
32 |
Number Of Services |
195 |
Number Of Medicare Beneficiaries |
35 |
Total Submitted Charge Amount |
12068 |
Total Medicare Allowed Amount |
5045.45 |
Total Medicare Payment Amount |
3309.49 |
Total Medicare Standardized Payment Amount |
4321.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
119 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
1770 |
Total Drug Medicare AllowedAmount |
225.06 |
Total Drug Medicare PaymentAmount |
162.93 |
Total Drug Medicare Standardized Payment Amount |
162.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
76 |
Number Of Medicare Beneficiaries With Medical Services |
35 |
Total Medical Submitted Charge Amount |
10298 |
Total Medical Medicare Allowed Amount |
4820.39 |
Total Medical Medicare Payment Amount |
3146.56 |
Total Medical Medicare Standardized Payment Amount |
4158.8 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
17 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
20 |
Number Of Male Beneficiaries |
15 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
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 |
37 |
Percent Of With Diabetes |
|
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
|
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9371 |