National Provider Identifier [NPI]: |
1720043789 |
Last Name Of The Provider |
PARRISH |
First Name Of The Provider |
DANIELLE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
702 NEWMAN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW BERN |
Zip Code Of The Provider |
285625238 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
806 |
Number Of Medicare Beneficiaries |
288 |
Total Submitted Charge Amount |
81673 |
Total Medicare Allowed Amount |
41518.23 |
Total Medicare Payment Amount |
32754.66 |
Total Medicare Standardized Payment Amount |
39627.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
51 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
986 |
Total Drug Medicare AllowedAmount |
377.18 |
Total Drug Medicare PaymentAmount |
360.96 |
Total Drug Medicare Standardized Payment Amount |
360.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
755 |
Number Of Medicare Beneficiaries With Medical Services |
288 |
Total Medical Submitted Charge Amount |
80687 |
Total Medical Medicare Allowed Amount |
41141.05 |
Total Medical Medicare Payment Amount |
32393.7 |
Total Medical Medicare Standardized Payment Amount |
39266.06 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
151 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
253 |
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 |
236 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
69 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9092 |