National Provider Identifier [NPI]: |
1477692630 |
Last Name Of The Provider |
CARTER-WYATT |
First Name Of The Provider |
SHERRI |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3333 SPRINGHILL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH LITTLE ROCK |
Zip Code Of The Provider |
721172922 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
1090 |
Number Of Medicare Beneficiaries |
786 |
Total Submitted Charge Amount |
373377 |
Total Medicare Allowed Amount |
119924.53 |
Total Medicare Payment Amount |
89490.29 |
Total Medicare Standardized Payment Amount |
95170.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1090 |
Number Of Medicare Beneficiaries With Medical Services |
786 |
Total Medical Submitted Charge Amount |
373377 |
Total Medical Medicare Allowed Amount |
119924.53 |
Total Medical Medicare Payment Amount |
89490.29 |
Total Medical Medicare Standardized Payment Amount |
95170.46 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
271 |
Number Of Beneficiaries Age 65 to 74 |
194 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
472 |
Number Of Male Beneficiaries |
314 |
Number Of Non Hispanic White Beneficiaries |
604 |
Number Of Black or African American Beneficiaries |
168 |
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 |
488 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
298 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.965 |