National Provider Identifier [NPI]: |
1225325632 |
Last Name Of The Provider |
LASSITER |
First Name Of The Provider |
LINDSEY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
971 LAKELAND DR |
Street Address 2 Of The Provider |
SUITE 1052 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392164643 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
907 |
Number Of Medicare Beneficiaries |
246 |
Total Submitted Charge Amount |
96231.93 |
Total Medicare Allowed Amount |
48919.9 |
Total Medicare Payment Amount |
36560.19 |
Total Medicare Standardized Payment Amount |
46571.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
3381.61 |
Total Drug Medicare AllowedAmount |
165.55 |
Total Drug Medicare PaymentAmount |
134.97 |
Total Drug Medicare Standardized Payment Amount |
134.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
795 |
Number Of Medicare Beneficiaries With Medical Services |
246 |
Total Medical Submitted Charge Amount |
92850.32 |
Total Medical Medicare Allowed Amount |
48754.35 |
Total Medical Medicare Payment Amount |
36425.22 |
Total Medical Medicare Standardized Payment Amount |
46436.9 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
50 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
167 |
Number Of Male Beneficiaries |
79 |
Number Of Non Hispanic White Beneficiaries |
125 |
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 |
149 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
37 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
59 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6318 |