National Provider Identifier [NPI]: |
1295792547 |
Last Name Of The Provider |
MCDANIEL |
First Name Of The Provider |
DANA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
APN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
902 NO RIVERSIDE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
ST JOSEPH |
Zip Code Of The Provider |
645072559 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
5661 |
Number Of Medicare Beneficiaries |
597 |
Total Submitted Charge Amount |
255724 |
Total Medicare Allowed Amount |
124712.12 |
Total Medicare Payment Amount |
93943.94 |
Total Medicare Standardized Payment Amount |
109448.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
30 |
Number Of Drug Services |
3702 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
102473 |
Total Drug Medicare AllowedAmount |
36719.55 |
Total Drug Medicare PaymentAmount |
28515.13 |
Total Drug Medicare Standardized Payment Amount |
28515.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1959 |
Number Of Medicare Beneficiaries With Medical Services |
597 |
Total Medical Submitted Charge Amount |
153251 |
Total Medical Medicare Allowed Amount |
87992.57 |
Total Medical Medicare Payment Amount |
65428.81 |
Total Medical Medicare Standardized Payment Amount |
80933.61 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
222 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
369 |
Number Of Male Beneficiaries |
228 |
Number Of Non Hispanic White Beneficiaries |
571 |
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 |
495 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
54 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0725 |