National Provider Identifier [NPI]: |
1487744173 |
Last Name Of The Provider |
MCFARLAND |
First Name Of The Provider |
DEBORA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
APNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1155 N MAYFAIR RD |
Street Address 2 Of The Provider |
PLANK ROAD CLINIC |
City Of The Provider |
MILWAUKEE |
Zip Code Of The Provider |
532263462 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
698 |
Number Of Medicare Beneficiaries |
379 |
Total Submitted Charge Amount |
190242.86 |
Total Medicare Allowed Amount |
52734.76 |
Total Medicare Payment Amount |
44055.21 |
Total Medicare Standardized Payment Amount |
53862.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
67 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
2625.88 |
Total Drug Medicare AllowedAmount |
1156.66 |
Total Drug Medicare PaymentAmount |
1124.47 |
Total Drug Medicare Standardized Payment Amount |
1124.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
631 |
Number Of Medicare Beneficiaries With Medical Services |
379 |
Total Medical Submitted Charge Amount |
187616.98 |
Total Medical Medicare Allowed Amount |
51578.1 |
Total Medical Medicare Payment Amount |
42930.74 |
Total Medical Medicare Standardized Payment Amount |
52737.94 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
258 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
226 |
Number Of Black or African American Beneficiaries |
130 |
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 |
129 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
250 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5476 |