National Provider Identifier [NPI]: |
1891030367 |
Last Name Of The Provider |
GEE |
First Name Of The Provider |
KATHERINE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
RN, MSN, PMHNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9 BLODGET ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MANCHESTER |
Zip Code Of The Provider |
031043502 |
State Code Of The Provider |
NH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
12 |
Number Of Services |
1371 |
Number Of Medicare Beneficiaries |
445 |
Total Submitted Charge Amount |
156433 |
Total Medicare Allowed Amount |
95267.53 |
Total Medicare Payment Amount |
70271.8 |
Total Medicare Standardized Payment Amount |
83484.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
1371 |
Number Of Medicare Beneficiaries With Medical Services |
445 |
Total Medical Submitted Charge Amount |
156433 |
Total Medical Medicare Allowed Amount |
95267.53 |
Total Medical Medicare Payment Amount |
70271.8 |
Total Medical Medicare Standardized Payment Amount |
83484.97 |
Average Age Of Beneficiaries |
47 |
Number Of Beneficiaries Age Less65 |
401 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
234 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
392 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
89 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
356 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
3 |
Percent Of With Heart Failure |
4 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
58 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
33 |
Percent Of With Ischemic Heart Disease |
8 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
18 |
Percent Of With Schizophrenia Other PsychoticDisorders |
38 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1885 |