National Provider Identifier [NPI]: |
1063414662 |
Last Name Of The Provider |
MCELROY |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
808 N SAMUEL MOORE PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOORESVILLE |
Zip Code Of The Provider |
461581467 |
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 |
38 |
Number Of Services |
1229 |
Number Of Medicare Beneficiaries |
424 |
Total Submitted Charge Amount |
87697 |
Total Medicare Allowed Amount |
52941.03 |
Total Medicare Payment Amount |
37038.37 |
Total Medicare Standardized Payment Amount |
47534.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
249 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
5692 |
Total Drug Medicare AllowedAmount |
1031.88 |
Total Drug Medicare PaymentAmount |
898.62 |
Total Drug Medicare Standardized Payment Amount |
898.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
980 |
Number Of Medicare Beneficiaries With Medical Services |
424 |
Total Medical Submitted Charge Amount |
82005 |
Total Medical Medicare Allowed Amount |
51909.15 |
Total Medical Medicare Payment Amount |
36139.75 |
Total Medical Medicare Standardized Payment Amount |
46635.94 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
312 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
112 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0997 |