National Provider Identifier [NPI]: |
1508001389 |
Last Name Of The Provider |
LOINES |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MSN-CRNA |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 TYSON AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PARIS |
Zip Code Of The Provider |
382424544 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
CRNA |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
501 |
Number Of Medicare Beneficiaries |
453 |
Total Submitted Charge Amount |
569036 |
Total Medicare Allowed Amount |
76650.93 |
Total Medicare Payment Amount |
57810.51 |
Total Medicare Standardized Payment Amount |
62735.08 |
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 |
33 |
Number Of Medical Services |
501 |
Number Of Medicare Beneficiaries With Medical Services |
453 |
Total Medical Submitted Charge Amount |
569036 |
Total Medical Medicare Allowed Amount |
76650.93 |
Total Medical Medicare Payment Amount |
57810.51 |
Total Medical Medicare Standardized Payment Amount |
62735.08 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
266 |
Number Of Male Beneficiaries |
187 |
Number Of Non Hispanic White Beneficiaries |
429 |
Number Of Black or African American Beneficiaries |
13 |
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 |
361 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0524 |