National Provider Identifier [NPI]: |
1619987427 |
Last Name Of The Provider |
MCGEHEE |
First Name Of The Provider |
DEBBIE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
CFNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 EAST MONROE STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRENADA |
Zip Code Of The Provider |
389014080 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
5922 |
Number Of Medicare Beneficiaries |
423 |
Total Submitted Charge Amount |
253967.05 |
Total Medicare Allowed Amount |
144719.25 |
Total Medicare Payment Amount |
93384.13 |
Total Medicare Standardized Payment Amount |
125997.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2809 |
Number Of Medicare Beneficiaries With Drug Services |
238 |
Total Drug Submitted ChargeAmount |
14708 |
Total Drug Medicare AllowedAmount |
2706.5 |
Total Drug Medicare PaymentAmount |
2298.1 |
Total Drug Medicare Standardized Payment Amount |
2298.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
3113 |
Number Of Medicare Beneficiaries With Medical Services |
423 |
Total Medical Submitted Charge Amount |
239259.05 |
Total Medical Medicare Allowed Amount |
142012.75 |
Total Medical Medicare Payment Amount |
91086.03 |
Total Medical Medicare Standardized Payment Amount |
123699.02 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
212 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
269 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
215 |
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 |
142 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
281 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1709 |