National Provider Identifier [NPI]: |
1235403726 |
Last Name Of The Provider |
ROBBINS |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
202 S TEMPLE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
DIBOLL |
Zip Code Of The Provider |
759412418 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
1455 |
Number Of Medicare Beneficiaries |
172 |
Total Submitted Charge Amount |
113438 |
Total Medicare Allowed Amount |
48194.38 |
Total Medicare Payment Amount |
33572.75 |
Total Medicare Standardized Payment Amount |
43560.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
522 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
6465 |
Total Drug Medicare AllowedAmount |
2397.3 |
Total Drug Medicare PaymentAmount |
2286.6 |
Total Drug Medicare Standardized Payment Amount |
2286.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
933 |
Number Of Medicare Beneficiaries With Medical Services |
172 |
Total Medical Submitted Charge Amount |
106973 |
Total Medical Medicare Allowed Amount |
45797.08 |
Total Medical Medicare Payment Amount |
31286.15 |
Total Medical Medicare Standardized Payment Amount |
41273.45 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
79 |
Number Of Beneficiaries Age 75 to 84 |
54 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
110 |
Number Of Male Beneficiaries |
62 |
Number Of Non Hispanic White Beneficiaries |
112 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4258 |