National Provider Identifier [NPI]: |
1831523398 |
Last Name Of The Provider |
STROUD |
First Name Of The Provider |
MICHELE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
APRN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
PADUCAH |
Zip Code Of The Provider |
420037914 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
839 |
Number Of Medicare Beneficiaries |
449 |
Total Submitted Charge Amount |
80551.6 |
Total Medicare Allowed Amount |
32199.16 |
Total Medicare Payment Amount |
22459.41 |
Total Medicare Standardized Payment Amount |
29338.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
143 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
2627.6 |
Total Drug Medicare AllowedAmount |
522.59 |
Total Drug Medicare PaymentAmount |
410.96 |
Total Drug Medicare Standardized Payment Amount |
410.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
696 |
Number Of Medicare Beneficiaries With Medical Services |
449 |
Total Medical Submitted Charge Amount |
77924 |
Total Medical Medicare Allowed Amount |
31676.57 |
Total Medical Medicare Payment Amount |
22048.45 |
Total Medical Medicare Standardized Payment Amount |
28927.06 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
183 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
418 |
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 |
362 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0262 |