National Provider Identifier [NPI]: |
1962559161 |
Last Name Of The Provider |
STRICKLAND |
First Name Of The Provider |
JENNIFER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MSN, CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 PENN BLVD STE 4423 |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191441476 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
6 |
Number Of Services |
227 |
Number Of Medicare Beneficiaries |
95 |
Total Submitted Charge Amount |
37122 |
Total Medicare Allowed Amount |
23317.92 |
Total Medicare Payment Amount |
18530.94 |
Total Medicare Standardized Payment Amount |
20520.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
990 |
Total Drug Medicare AllowedAmount |
392.37 |
Total Drug Medicare PaymentAmount |
384.45 |
Total Drug Medicare Standardized Payment Amount |
384.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
5 |
Number Of Medical Services |
194 |
Number Of Medicare Beneficiaries With Medical Services |
95 |
Total Medical Submitted Charge Amount |
36132 |
Total Medical Medicare Allowed Amount |
22925.55 |
Total Medical Medicare Payment Amount |
18146.49 |
Total Medical Medicare Standardized Payment Amount |
20136.48 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
26 |
Number Of Beneficiaries Age 75 to 84 |
24 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
59 |
Number Of Male Beneficiaries |
36 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
78 |
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 |
26 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
72 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
28 |
Average HCC Risk Score Of Beneficiaries |
2.0086 |