Medicare Facts for Darel L. Davis, APN


National Provider Identifier [NPI]: 1366749707
Last Name Of The Provider DAVIS
First Name Of The Provider DAREL
Middle Initial Of The Provider L
Credentials Of The Provider APN, FNP-C
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3295 POPLAR AVE
Street Address 2 Of The Provider SUITE 105
City Of The Provider MEMPHIS
Zip Code Of The Provider 381114690
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 29
Number Of Services 214
Number Of Medicare Beneficiaries 79
Total Submitted Charge Amount 22734.6
Total Medicare Allowed Amount 7325.69
Total Medicare Payment Amount 4650.47
Total Medicare Standardized Payment Amount 6196.94
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 83
Number Of Medicare Beneficiaries With Drug Services 19
Total Drug Submitted ChargeAmount 2263.6
Total Drug Medicare AllowedAmount 53.13
Total Drug Medicare PaymentAmount 34.66
Total Drug Medicare Standardized Payment Amount 34.66
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 22
Number Of Medical Services 131
Number Of Medicare Beneficiaries With Medical Services 79
Total Medical Submitted Charge Amount 20471
Total Medical Medicare Allowed Amount 7272.56
Total Medical Medicare Payment Amount 4615.81
Total Medical Medicare Standardized Payment Amount 6162.28
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 22
Number Of Beneficiaries Age 65 to 74 40
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 56
Number Of Male Beneficiaries 23
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 45
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 51
Number Of Beneficiaries With Medicare Medicaid Entitlement 28
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 14
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8733

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