National Provider Identifier [NPI]: |
1144329798 |
Last Name Of The Provider |
PRICE |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
A.N.P. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 MERCY WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELLA VISTA |
Zip Code Of The Provider |
727143000 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
5168 |
Number Of Medicare Beneficiaries |
472 |
Total Submitted Charge Amount |
315202 |
Total Medicare Allowed Amount |
131889.35 |
Total Medicare Payment Amount |
102627.66 |
Total Medicare Standardized Payment Amount |
122101.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
1525 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
32783 |
Total Drug Medicare AllowedAmount |
20418.96 |
Total Drug Medicare PaymentAmount |
16903.24 |
Total Drug Medicare Standardized Payment Amount |
16903.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
3643 |
Number Of Medicare Beneficiaries With Medical Services |
472 |
Total Medical Submitted Charge Amount |
282419 |
Total Medical Medicare Allowed Amount |
111470.39 |
Total Medical Medicare Payment Amount |
85724.42 |
Total Medical Medicare Standardized Payment Amount |
105198.62 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
229 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
454 |
Number Of Black or African American Beneficiaries |
0 |
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 |
451 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9632 |