National Provider Identifier [NPI]: |
1801860325 |
Last Name Of The Provider |
SAYLOR |
First Name Of The Provider |
GINA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
ANP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 E COUNTY LINE ROAD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
GREENWOOD |
Zip Code Of The Provider |
461431070 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
1941 |
Number Of Medicare Beneficiaries |
574 |
Total Submitted Charge Amount |
104209 |
Total Medicare Allowed Amount |
56490.36 |
Total Medicare Payment Amount |
39418.25 |
Total Medicare Standardized Payment Amount |
49245.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
341 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
4711 |
Total Drug Medicare AllowedAmount |
2214.57 |
Total Drug Medicare PaymentAmount |
1763.06 |
Total Drug Medicare Standardized Payment Amount |
1763.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
1600 |
Number Of Medicare Beneficiaries With Medical Services |
573 |
Total Medical Submitted Charge Amount |
99498 |
Total Medical Medicare Allowed Amount |
54275.79 |
Total Medical Medicare Payment Amount |
37655.19 |
Total Medical Medicare Standardized Payment Amount |
47482.26 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
375 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
557 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
500 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.23 |