National Provider Identifier [NPI]: |
1780650739 |
Last Name Of The Provider |
MALEY |
First Name Of The Provider |
JULIE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
CNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
304 W HAY ST |
Street Address 2 Of The Provider |
SUITE 111 |
City Of The Provider |
DECATUR |
Zip Code Of The Provider |
625266328 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
2750 |
Number Of Medicare Beneficiaries |
516 |
Total Submitted Charge Amount |
503268 |
Total Medicare Allowed Amount |
112061.85 |
Total Medicare Payment Amount |
81115.83 |
Total Medicare Standardized Payment Amount |
91685.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1429 |
Number Of Medicare Beneficiaries With Drug Services |
314 |
Total Drug Submitted ChargeAmount |
76371 |
Total Drug Medicare AllowedAmount |
34209.52 |
Total Drug Medicare PaymentAmount |
25950.47 |
Total Drug Medicare Standardized Payment Amount |
25950.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1321 |
Number Of Medicare Beneficiaries With Medical Services |
516 |
Total Medical Submitted Charge Amount |
426897 |
Total Medical Medicare Allowed Amount |
77852.33 |
Total Medical Medicare Payment Amount |
55165.36 |
Total Medical Medicare Standardized Payment Amount |
65734.73 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
355 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
482 |
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 |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0749 |