National Provider Identifier [NPI]: |
1417109844 |
Last Name Of The Provider |
HOKANSON |
First Name Of The Provider |
HEATHER |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3909 10TH ST SE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PUYALLUP |
Zip Code Of The Provider |
983742189 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
862 |
Number Of Medicare Beneficiaries |
77 |
Total Submitted Charge Amount |
48405.72 |
Total Medicare Allowed Amount |
24257.74 |
Total Medicare Payment Amount |
18136.19 |
Total Medicare Standardized Payment Amount |
21021.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
196 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
2443.69 |
Total Drug Medicare AllowedAmount |
1343.53 |
Total Drug Medicare PaymentAmount |
950.52 |
Total Drug Medicare Standardized Payment Amount |
950.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
666 |
Number Of Medicare Beneficiaries With Medical Services |
77 |
Total Medical Submitted Charge Amount |
45962.03 |
Total Medical Medicare Allowed Amount |
22914.21 |
Total Medical Medicare Payment Amount |
17185.67 |
Total Medical Medicare Standardized Payment Amount |
20070.96 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
36 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
56 |
Number Of Male Beneficiaries |
21 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
60 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9698 |