National Provider Identifier [NPI]: |
1841449881 |
Last Name Of The Provider |
HUTCHINSON |
First Name Of The Provider |
EMMANUELLE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MPA, PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 SAINT SEBASTIAN WAY |
Street Address 2 Of The Provider |
SUITE 4C |
City Of The Provider |
AUGUSTA |
Zip Code Of The Provider |
309012643 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
630 |
Number Of Medicare Beneficiaries |
239 |
Total Submitted Charge Amount |
74367 |
Total Medicare Allowed Amount |
28629.97 |
Total Medicare Payment Amount |
24590.79 |
Total Medicare Standardized Payment Amount |
29546.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
119 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
5735 |
Total Drug Medicare AllowedAmount |
2852.1 |
Total Drug Medicare PaymentAmount |
2784.58 |
Total Drug Medicare Standardized Payment Amount |
2784.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
511 |
Number Of Medicare Beneficiaries With Medical Services |
239 |
Total Medical Submitted Charge Amount |
68632 |
Total Medical Medicare Allowed Amount |
25777.87 |
Total Medical Medicare Payment Amount |
21806.21 |
Total Medical Medicare Standardized Payment Amount |
26761.69 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
180 |
Number Of Male Beneficiaries |
59 |
Number Of Non Hispanic White Beneficiaries |
183 |
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 |
220 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1673 |