National Provider Identifier [NPI]: |
1942593892 |
Last Name Of The Provider |
HICKS |
First Name Of The Provider |
FRANCES |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2244 EXECUTIVE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAMPTON |
Zip Code Of The Provider |
236662430 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
292 |
Number Of Medicare Beneficiaries |
144 |
Total Submitted Charge Amount |
8737.68 |
Total Medicare Allowed Amount |
8250.62 |
Total Medicare Payment Amount |
7723.98 |
Total Medicare Standardized Payment Amount |
8529.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
132 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
4221.68 |
Total Drug Medicare AllowedAmount |
4221.68 |
Total Drug Medicare PaymentAmount |
4137.22 |
Total Drug Medicare Standardized Payment Amount |
4137.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
160 |
Number Of Medicare Beneficiaries With Medical Services |
144 |
Total Medical Submitted Charge Amount |
4516 |
Total Medical Medicare Allowed Amount |
4028.94 |
Total Medical Medicare Payment Amount |
3586.76 |
Total Medical Medicare Standardized Payment Amount |
4392.25 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
80 |
Number Of Beneficiaries Age 75 to 84 |
41 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
91 |
Number Of Male Beneficiaries |
53 |
Number Of Non Hispanic White Beneficiaries |
117 |
Number Of Black or African American Beneficiaries |
12 |
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 |
15 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.904 |