National Provider Identifier [NPI]: |
1902119225 |
Last Name Of The Provider |
GEISLER |
First Name Of The Provider |
CORTNEY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3219 CENTRAL AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
KEARNEY |
Zip Code Of The Provider |
688472958 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
2258 |
Number Of Medicare Beneficiaries |
263 |
Total Submitted Charge Amount |
122877 |
Total Medicare Allowed Amount |
40304.7 |
Total Medicare Payment Amount |
30967.36 |
Total Medicare Standardized Payment Amount |
36309.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
440 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
14694 |
Total Drug Medicare AllowedAmount |
4998.61 |
Total Drug Medicare PaymentAmount |
3903.74 |
Total Drug Medicare Standardized Payment Amount |
3903.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
1818 |
Number Of Medicare Beneficiaries With Medical Services |
263 |
Total Medical Submitted Charge Amount |
108183 |
Total Medical Medicare Allowed Amount |
35306.09 |
Total Medical Medicare Payment Amount |
27063.62 |
Total Medical Medicare Standardized Payment Amount |
32405.86 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
107 |
Number Of Beneficiaries Age 75 to 84 |
84 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
218 |
Number Of Male Beneficiaries |
45 |
Number Of Non Hispanic White Beneficiaries |
249 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
220 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3302 |