National Provider Identifier [NPI]: |
1447221759 |
Last Name Of The Provider |
CALVERT |
First Name Of The Provider |
NORMA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
ANP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 E COUNTY LINE RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
GREENWOOD |
Zip Code Of The Provider |
461431070 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
1724 |
Number Of Medicare Beneficiaries |
590 |
Total Submitted Charge Amount |
117159 |
Total Medicare Allowed Amount |
65909.61 |
Total Medicare Payment Amount |
47415.07 |
Total Medicare Standardized Payment Amount |
58843.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
69 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
2706 |
Total Drug Medicare AllowedAmount |
1288.24 |
Total Drug Medicare PaymentAmount |
1175.87 |
Total Drug Medicare Standardized Payment Amount |
1175.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
1655 |
Number Of Medicare Beneficiaries With Medical Services |
590 |
Total Medical Submitted Charge Amount |
114453 |
Total Medical Medicare Allowed Amount |
64621.37 |
Total Medical Medicare Payment Amount |
46239.2 |
Total Medical Medicare Standardized Payment Amount |
57667.5 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
407 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
574 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
527 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1958 |