National Provider Identifier [NPI]: |
1669817631 |
Last Name Of The Provider |
HAND |
First Name Of The Provider |
KRISTI |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
NP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
176 CHARLES HARDY PKWY UNIT C |
Street Address 2 Of The Provider |
|
City Of The Provider |
HIRAM |
Zip Code Of The Provider |
301411836 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
933 |
Number Of Medicare Beneficiaries |
331 |
Total Submitted Charge Amount |
78518 |
Total Medicare Allowed Amount |
32983.61 |
Total Medicare Payment Amount |
22362.71 |
Total Medicare Standardized Payment Amount |
27262.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
314 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
1582 |
Total Drug Medicare AllowedAmount |
298.98 |
Total Drug Medicare PaymentAmount |
269.98 |
Total Drug Medicare Standardized Payment Amount |
269.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
619 |
Number Of Medicare Beneficiaries With Medical Services |
331 |
Total Medical Submitted Charge Amount |
76936 |
Total Medical Medicare Allowed Amount |
32684.63 |
Total Medical Medicare Payment Amount |
22092.73 |
Total Medical Medicare Standardized Payment Amount |
26992.63 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
226 |
Number Of Male Beneficiaries |
105 |
Number Of Non Hispanic White Beneficiaries |
270 |
Number Of Black or African American Beneficiaries |
48 |
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 |
270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3151 |