National Provider Identifier [NPI]: |
1013271246 |
Last Name Of The Provider |
OAKESON |
First Name Of The Provider |
DACIA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
NP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
715 N SAINT JOSEPH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HASTINGS |
Zip Code Of The Provider |
689014451 |
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 |
38 |
Number Of Services |
536 |
Number Of Medicare Beneficiaries |
154 |
Total Submitted Charge Amount |
37653 |
Total Medicare Allowed Amount |
19748.81 |
Total Medicare Payment Amount |
15265.55 |
Total Medicare Standardized Payment Amount |
18940.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
98 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
1929 |
Total Drug Medicare AllowedAmount |
1407.1 |
Total Drug Medicare PaymentAmount |
1206.67 |
Total Drug Medicare Standardized Payment Amount |
1206.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
438 |
Number Of Medicare Beneficiaries With Medical Services |
153 |
Total Medical Submitted Charge Amount |
35724 |
Total Medical Medicare Allowed Amount |
18341.71 |
Total Medical Medicare Payment Amount |
14058.88 |
Total Medical Medicare Standardized Payment Amount |
17734.03 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
47 |
Number Of Beneficiaries Age 75 to 84 |
26 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
107 |
Number Of Male Beneficiaries |
47 |
Number Of Non Hispanic White Beneficiaries |
143 |
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 |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
82 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0692 |