National Provider Identifier [NPI]: |
1841402369 |
Last Name Of The Provider |
REICHELT |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4771 S CLEVELAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339071317 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
1367 |
Number Of Medicare Beneficiaries |
513 |
Total Submitted Charge Amount |
160414.5 |
Total Medicare Allowed Amount |
55131.44 |
Total Medicare Payment Amount |
37258.67 |
Total Medicare Standardized Payment Amount |
42392.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
367 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
10993 |
Total Drug Medicare AllowedAmount |
899.33 |
Total Drug Medicare PaymentAmount |
637.67 |
Total Drug Medicare Standardized Payment Amount |
637.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1000 |
Number Of Medicare Beneficiaries With Medical Services |
512 |
Total Medical Submitted Charge Amount |
149421.5 |
Total Medical Medicare Allowed Amount |
54232.11 |
Total Medical Medicare Payment Amount |
36621 |
Total Medical Medicare Standardized Payment Amount |
41754.58 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
233 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
204 |
Number Of Non Hispanic White Beneficiaries |
476 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
461 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1299 |