National Provider Identifier [NPI]: |
1558674796 |
Last Name Of The Provider |
REED |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MSN FNP-BC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2401 HARTNELL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
REDDING |
Zip Code Of The Provider |
960022321 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
4054 |
Number Of Medicare Beneficiaries |
878 |
Total Submitted Charge Amount |
357384.64 |
Total Medicare Allowed Amount |
252993.87 |
Total Medicare Payment Amount |
176907.27 |
Total Medicare Standardized Payment Amount |
202781.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
726 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
14168.9 |
Total Drug Medicare AllowedAmount |
9118.12 |
Total Drug Medicare PaymentAmount |
7605.91 |
Total Drug Medicare Standardized Payment Amount |
7605.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
3328 |
Number Of Medicare Beneficiaries With Medical Services |
878 |
Total Medical Submitted Charge Amount |
343215.74 |
Total Medical Medicare Allowed Amount |
243875.75 |
Total Medical Medicare Payment Amount |
169301.36 |
Total Medical Medicare Standardized Payment Amount |
195175.55 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
277 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
525 |
Number Of Male Beneficiaries |
353 |
Number Of Non Hispanic White Beneficiaries |
840 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
801 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0252 |