National Provider Identifier [NPI]: |
1396727913 |
Last Name Of The Provider |
FILUT |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
RNCS, APNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1111 DELAFIELD ST |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
WAUKESHA |
Zip Code Of The Provider |
531883417 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
458 |
Number Of Medicare Beneficiaries |
215 |
Total Submitted Charge Amount |
967783 |
Total Medicare Allowed Amount |
35005.96 |
Total Medicare Payment Amount |
26644.83 |
Total Medicare Standardized Payment Amount |
31819.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
126 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
3522 |
Total Drug Medicare AllowedAmount |
2379.08 |
Total Drug Medicare PaymentAmount |
1865.22 |
Total Drug Medicare Standardized Payment Amount |
1865.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
332 |
Number Of Medicare Beneficiaries With Medical Services |
214 |
Total Medical Submitted Charge Amount |
964261 |
Total Medical Medicare Allowed Amount |
32626.88 |
Total Medical Medicare Payment Amount |
24779.61 |
Total Medical Medicare Standardized Payment Amount |
29953.88 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
104 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
135 |
Number Of Male Beneficiaries |
80 |
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 |
200 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1175 |