National Provider Identifier [NPI]: |
1780665919 |
Last Name Of The Provider |
DICUS |
First Name Of The Provider |
LYNN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
305 TYSON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PARIS |
Zip Code Of The Provider |
382424579 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
8161 |
Number Of Medicare Beneficiaries |
430 |
Total Submitted Charge Amount |
333238 |
Total Medicare Allowed Amount |
157330.91 |
Total Medicare Payment Amount |
119293.26 |
Total Medicare Standardized Payment Amount |
144443.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
871 |
Number Of Medicare Beneficiaries With Drug Services |
205 |
Total Drug Submitted ChargeAmount |
13805 |
Total Drug Medicare AllowedAmount |
4651.17 |
Total Drug Medicare PaymentAmount |
4079.94 |
Total Drug Medicare Standardized Payment Amount |
4079.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
7290 |
Number Of Medicare Beneficiaries With Medical Services |
429 |
Total Medical Submitted Charge Amount |
319433 |
Total Medical Medicare Allowed Amount |
152679.74 |
Total Medical Medicare Payment Amount |
115213.32 |
Total Medical Medicare Standardized Payment Amount |
140363.85 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
332 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
385 |
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 |
319 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8823 |