National Provider Identifier [NPI]: |
1720178502 |
Last Name Of The Provider |
HILL |
First Name Of The Provider |
PAMELA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2115 CLOYD BLVD |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
FLORENCE |
Zip Code Of The Provider |
356307512 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
3274 |
Number Of Medicare Beneficiaries |
831 |
Total Submitted Charge Amount |
150145.8 |
Total Medicare Allowed Amount |
127111.76 |
Total Medicare Payment Amount |
80514.57 |
Total Medicare Standardized Payment Amount |
109670.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1167 |
Number Of Medicare Beneficiaries With Drug Services |
301 |
Total Drug Submitted ChargeAmount |
13639.8 |
Total Drug Medicare AllowedAmount |
6214.65 |
Total Drug Medicare PaymentAmount |
5245.96 |
Total Drug Medicare Standardized Payment Amount |
5245.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
2107 |
Number Of Medicare Beneficiaries With Medical Services |
831 |
Total Medical Submitted Charge Amount |
136506 |
Total Medical Medicare Allowed Amount |
120897.11 |
Total Medical Medicare Payment Amount |
75268.61 |
Total Medical Medicare Standardized Payment Amount |
104424.56 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
335 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
526 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
794 |
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 |
742 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
0.9178 |