National Provider Identifier [NPI]: |
1023001633 |
Last Name Of The Provider |
BEAGLE |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
605 LAMAR AVE |
Street Address 2 Of The Provider |
RURAL MEDICAL ASSOC. INC |
City Of The Provider |
BROOKSVILLE |
Zip Code Of The Provider |
346013211 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
12 |
Number Of Services |
1985 |
Number Of Medicare Beneficiaries |
286 |
Total Submitted Charge Amount |
156732.01 |
Total Medicare Allowed Amount |
120197.5 |
Total Medicare Payment Amount |
93209.12 |
Total Medicare Standardized Payment Amount |
109473.9 |
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 |
1985 |
Number Of Medicare Beneficiaries With Medical Services |
286 |
Total Medical Submitted Charge Amount |
156732.01 |
Total Medical Medicare Allowed Amount |
120197.5 |
Total Medical Medicare Payment Amount |
93209.12 |
Total Medical Medicare Standardized Payment Amount |
109473.9 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
50 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
189 |
Number Of Male Beneficiaries |
97 |
Number Of Non Hispanic White Beneficiaries |
256 |
Number Of Black or African American Beneficiaries |
13 |
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 |
84 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
202 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
74 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
33 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.1817 |