National Provider Identifier [NPI]: |
1205078730 |
Last Name Of The Provider |
CUMMINS |
First Name Of The Provider |
EMILY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
NP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 TOWER RD NE |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
MARIETTA |
Zip Code Of The Provider |
300609411 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
612 |
Number Of Medicare Beneficiaries |
386 |
Total Submitted Charge Amount |
71550.48 |
Total Medicare Allowed Amount |
35339.97 |
Total Medicare Payment Amount |
23715.1 |
Total Medicare Standardized Payment Amount |
28972.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
885 |
Total Drug Medicare AllowedAmount |
308.35 |
Total Drug Medicare PaymentAmount |
241.75 |
Total Drug Medicare Standardized Payment Amount |
241.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
598 |
Number Of Medicare Beneficiaries With Medical Services |
386 |
Total Medical Submitted Charge Amount |
70665.48 |
Total Medical Medicare Allowed Amount |
35031.62 |
Total Medical Medicare Payment Amount |
23473.35 |
Total Medical Medicare Standardized Payment Amount |
28730.32 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
153 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
243 |
Number Of Male Beneficiaries |
143 |
Number Of Non Hispanic White Beneficiaries |
358 |
Number Of Black or African American Beneficiaries |
|
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 |
281 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
105 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4749 |