National Provider Identifier [NPI]: |
1356681050 |
Last Name Of The Provider |
MILTON |
First Name Of The Provider |
MEGAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3334 CAPITAL MEDICAL BLVD |
Street Address 2 Of The Provider |
STE 400 |
City Of The Provider |
TALLAHASSEE |
Zip Code Of The Provider |
323088405 |
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 |
61 |
Number Of Services |
1134 |
Number Of Medicare Beneficiaries |
262 |
Total Submitted Charge Amount |
131273 |
Total Medicare Allowed Amount |
45022.3 |
Total Medicare Payment Amount |
32432.81 |
Total Medicare Standardized Payment Amount |
38319.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
208 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
5258 |
Total Drug Medicare AllowedAmount |
1496.37 |
Total Drug Medicare PaymentAmount |
1099.6 |
Total Drug Medicare Standardized Payment Amount |
1099.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
926 |
Number Of Medicare Beneficiaries With Medical Services |
262 |
Total Medical Submitted Charge Amount |
126015 |
Total Medical Medicare Allowed Amount |
43525.93 |
Total Medical Medicare Payment Amount |
31333.21 |
Total Medical Medicare Standardized Payment Amount |
37220.13 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
94 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
185 |
Number Of Male Beneficiaries |
77 |
Number Of Non Hispanic White Beneficiaries |
215 |
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 |
154 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1982 |