National Provider Identifier [NPI]: |
1881903649 |
Last Name Of The Provider |
SINCLAIR |
First Name Of The Provider |
GRETCHEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4800 FREDERICKSBURG RD |
Street Address 2 Of The Provider |
SUITE 127 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782293628 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
2073 |
Number Of Medicare Beneficiaries |
410 |
Total Submitted Charge Amount |
277471.15 |
Total Medicare Allowed Amount |
198548.89 |
Total Medicare Payment Amount |
153992.5 |
Total Medicare Standardized Payment Amount |
188010.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
451.73 |
Total Drug Medicare AllowedAmount |
406.43 |
Total Drug Medicare PaymentAmount |
396.88 |
Total Drug Medicare Standardized Payment Amount |
396.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2043 |
Number Of Medicare Beneficiaries With Medical Services |
410 |
Total Medical Submitted Charge Amount |
277019.42 |
Total Medical Medicare Allowed Amount |
198142.46 |
Total Medical Medicare Payment Amount |
153595.62 |
Total Medical Medicare Standardized Payment Amount |
187613.57 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
77 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
270 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
219 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
152 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
231 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
56 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2748 |