National Provider Identifier [NPI]: |
1447300801 |
Last Name Of The Provider |
RAMSEY |
First Name Of The Provider |
JUDITH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1675 NORTHCREST DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
CRESCENT CITY |
Zip Code Of The Provider |
955318928 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
2168 |
Number Of Medicare Beneficiaries |
398 |
Total Submitted Charge Amount |
127865.05 |
Total Medicare Allowed Amount |
106792.2 |
Total Medicare Payment Amount |
73137 |
Total Medicare Standardized Payment Amount |
84119.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
74 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
133.87 |
Total Drug Medicare AllowedAmount |
103.93 |
Total Drug Medicare PaymentAmount |
78.75 |
Total Drug Medicare Standardized Payment Amount |
78.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
2094 |
Number Of Medicare Beneficiaries With Medical Services |
398 |
Total Medical Submitted Charge Amount |
127731.18 |
Total Medical Medicare Allowed Amount |
106688.27 |
Total Medical Medicare Payment Amount |
73058.25 |
Total Medical Medicare Standardized Payment Amount |
84040.81 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
150 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
273 |
Number Of Male Beneficiaries |
125 |
Number Of Non Hispanic White Beneficiaries |
379 |
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 |
308 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1378 |