National Provider Identifier [NPI]: |
1689693418 |
Last Name Of The Provider |
HAMILTON |
First Name Of The Provider |
KARA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
NURSE PRACTIONER |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7030 PINEVILLE MATTHEWS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHARLOTTE |
Zip Code Of The Provider |
282268298 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
361 |
Number Of Medicare Beneficiaries |
134 |
Total Submitted Charge Amount |
38345 |
Total Medicare Allowed Amount |
15583.17 |
Total Medicare Payment Amount |
10255.46 |
Total Medicare Standardized Payment Amount |
13352.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
28 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
1035 |
Total Drug Medicare AllowedAmount |
396.9 |
Total Drug Medicare PaymentAmount |
380.88 |
Total Drug Medicare Standardized Payment Amount |
380.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
333 |
Number Of Medicare Beneficiaries With Medical Services |
134 |
Total Medical Submitted Charge Amount |
37310 |
Total Medical Medicare Allowed Amount |
15186.27 |
Total Medical Medicare Payment Amount |
9874.58 |
Total Medical Medicare Standardized Payment Amount |
12971.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
74 |
Number Of Beneficiaries Age 75 to 84 |
30 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
89 |
Number Of Male Beneficiaries |
45 |
Number Of Non Hispanic White Beneficiaries |
115 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
21 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9508 |