National Provider Identifier [NPI]: |
1518005354 |
Last Name Of The Provider |
FLUHMAN |
First Name Of The Provider |
JESSIE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 N 3RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TEXLINE |
Zip Code Of The Provider |
790871103 |
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 |
47 |
Number Of Services |
1102 |
Number Of Medicare Beneficiaries |
243 |
Total Submitted Charge Amount |
108830.48 |
Total Medicare Allowed Amount |
38917.69 |
Total Medicare Payment Amount |
22632.24 |
Total Medicare Standardized Payment Amount |
30501.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
309 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
6516.5 |
Total Drug Medicare AllowedAmount |
547.39 |
Total Drug Medicare PaymentAmount |
399.13 |
Total Drug Medicare Standardized Payment Amount |
399.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
793 |
Number Of Medicare Beneficiaries With Medical Services |
243 |
Total Medical Submitted Charge Amount |
102313.98 |
Total Medical Medicare Allowed Amount |
38370.3 |
Total Medical Medicare Payment Amount |
22233.11 |
Total Medical Medicare Standardized Payment Amount |
30102.52 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
105 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
159 |
Number Of Male Beneficiaries |
84 |
Number Of Non Hispanic White Beneficiaries |
179 |
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 |
186 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
|
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
28 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0778 |