National Provider Identifier [NPI]: |
1790877793 |
Last Name Of The Provider |
GITTINGS |
First Name Of The Provider |
MEGAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
50 S LAST CHANCE GULCH |
Street Address 2 Of The Provider |
SUITE 3 |
City Of The Provider |
HELENA |
Zip Code Of The Provider |
596014130 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
3608 |
Number Of Medicare Beneficiaries |
598 |
Total Submitted Charge Amount |
222573.96 |
Total Medicare Allowed Amount |
125999.73 |
Total Medicare Payment Amount |
83911.82 |
Total Medicare Standardized Payment Amount |
96017.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
154 |
Total Drug Medicare AllowedAmount |
68.83 |
Total Drug Medicare PaymentAmount |
51.23 |
Total Drug Medicare Standardized Payment Amount |
51.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
3577 |
Number Of Medicare Beneficiaries With Medical Services |
598 |
Total Medical Submitted Charge Amount |
222419.96 |
Total Medical Medicare Allowed Amount |
125930.9 |
Total Medical Medicare Payment Amount |
83860.59 |
Total Medical Medicare Standardized Payment Amount |
95966.04 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
173 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
336 |
Number Of Male Beneficiaries |
262 |
Number Of Non Hispanic White Beneficiaries |
576 |
Number Of Black or African American Beneficiaries |
0 |
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 |
553 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
38 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8093 |