National Provider Identifier [NPI]: |
1386603728 |
Last Name Of The Provider |
SNIDER |
First Name Of The Provider |
LAURA |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
DNP, FNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5189 W 600 N |
Street Address 2 Of The Provider |
|
City Of The Provider |
MC CORDSVILLE |
Zip Code Of The Provider |
460559715 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1125 |
Number Of Medicare Beneficiaries |
188 |
Total Submitted Charge Amount |
205998 |
Total Medicare Allowed Amount |
119341.35 |
Total Medicare Payment Amount |
88696.52 |
Total Medicare Standardized Payment Amount |
110498.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
32 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
648 |
Total Drug Medicare AllowedAmount |
261.31 |
Total Drug Medicare PaymentAmount |
245.57 |
Total Drug Medicare Standardized Payment Amount |
245.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1093 |
Number Of Medicare Beneficiaries With Medical Services |
188 |
Total Medical Submitted Charge Amount |
205350 |
Total Medical Medicare Allowed Amount |
119080.04 |
Total Medical Medicare Payment Amount |
88450.95 |
Total Medical Medicare Standardized Payment Amount |
110253.32 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
37 |
Number Of Beneficiaries Age 75 to 84 |
64 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
135 |
Number Of Male Beneficiaries |
53 |
Number Of Non Hispanic White Beneficiaries |
168 |
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 |
111 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
51 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.371 |