National Provider Identifier [NPI]: |
1497799639 |
Last Name Of The Provider |
GATTO |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
NURSE PRACTITIONER |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
761 45TH STREET |
Street Address 2 Of The Provider |
STE. 108 |
City Of The Provider |
MUNSTER |
Zip Code Of The Provider |
46321 |
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 |
47 |
Number Of Services |
1880 |
Number Of Medicare Beneficiaries |
713 |
Total Submitted Charge Amount |
298983.53 |
Total Medicare Allowed Amount |
127417.72 |
Total Medicare Payment Amount |
94058.21 |
Total Medicare Standardized Payment Amount |
117363.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
115 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
6954.53 |
Total Drug Medicare AllowedAmount |
3105.38 |
Total Drug Medicare PaymentAmount |
2565.35 |
Total Drug Medicare Standardized Payment Amount |
2565.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1765 |
Number Of Medicare Beneficiaries With Medical Services |
713 |
Total Medical Submitted Charge Amount |
292029 |
Total Medical Medicare Allowed Amount |
124312.34 |
Total Medical Medicare Payment Amount |
91492.86 |
Total Medical Medicare Standardized Payment Amount |
114798.43 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
225 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
446 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
628 |
Number Of Black or African American Beneficiaries |
42 |
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 |
502 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
57 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.39 |