National Provider Identifier [NPI]: |
1073946562 |
Last Name Of The Provider |
MUSICK |
First Name Of The Provider |
RAELYNN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7850 N SILVERBELL RD |
Street Address 2 Of The Provider |
SUITE 132 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857438219 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
306 |
Number Of Medicare Beneficiaries |
150 |
Total Submitted Charge Amount |
46381.38 |
Total Medicare Allowed Amount |
18550.49 |
Total Medicare Payment Amount |
12806.15 |
Total Medicare Standardized Payment Amount |
15461.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
975 |
Total Drug Medicare AllowedAmount |
178.74 |
Total Drug Medicare PaymentAmount |
137.72 |
Total Drug Medicare Standardized Payment Amount |
137.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
258 |
Number Of Medicare Beneficiaries With Medical Services |
150 |
Total Medical Submitted Charge Amount |
45406.38 |
Total Medical Medicare Allowed Amount |
18371.75 |
Total Medical Medicare Payment Amount |
12668.43 |
Total Medical Medicare Standardized Payment Amount |
15323.76 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
71 |
Number Of Beneficiaries Age 75 to 84 |
34 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
99 |
Number Of Male Beneficiaries |
51 |
Number Of Non Hispanic White Beneficiaries |
124 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
116 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
13 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9394 |