National Provider Identifier [NPI]: |
1285742866 |
Last Name Of The Provider |
VERMAAS |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
APRN, BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 S 48TH ST |
Street Address 2 Of The Provider |
SUITE 600 |
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685061275 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
3143 |
Number Of Medicare Beneficiaries |
510 |
Total Submitted Charge Amount |
258785 |
Total Medicare Allowed Amount |
111437.08 |
Total Medicare Payment Amount |
90420.88 |
Total Medicare Standardized Payment Amount |
108983.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
94 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
1128 |
Total Drug Medicare AllowedAmount |
510.16 |
Total Drug Medicare PaymentAmount |
400.02 |
Total Drug Medicare Standardized Payment Amount |
400.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
3049 |
Number Of Medicare Beneficiaries With Medical Services |
510 |
Total Medical Submitted Charge Amount |
257657 |
Total Medical Medicare Allowed Amount |
110926.92 |
Total Medical Medicare Payment Amount |
90020.86 |
Total Medical Medicare Standardized Payment Amount |
108583.53 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
131 |
Number Of Beneficiaries Age 75 to 84 |
179 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
218 |
Number Of Male Beneficiaries |
292 |
Number Of Non Hispanic White Beneficiaries |
484 |
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 |
440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
51 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
75 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.1135 |