National Provider Identifier [NPI]: |
1053631838 |
Last Name Of The Provider |
MCBRIDE |
First Name Of The Provider |
SARAH |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10950 CHAPEL HILL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MORRISVILLE |
Zip Code Of The Provider |
275608852 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
549 |
Number Of Medicare Beneficiaries |
290 |
Total Submitted Charge Amount |
90846.65 |
Total Medicare Allowed Amount |
25587.28 |
Total Medicare Payment Amount |
16850.26 |
Total Medicare Standardized Payment Amount |
21418.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
107 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
727.65 |
Total Drug Medicare AllowedAmount |
44.21 |
Total Drug Medicare PaymentAmount |
33.67 |
Total Drug Medicare Standardized Payment Amount |
33.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
442 |
Number Of Medicare Beneficiaries With Medical Services |
290 |
Total Medical Submitted Charge Amount |
90119 |
Total Medical Medicare Allowed Amount |
25543.07 |
Total Medical Medicare Payment Amount |
16816.59 |
Total Medical Medicare Standardized Payment Amount |
21385.2 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
74 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
195 |
Number Of Male Beneficiaries |
95 |
Number Of Non Hispanic White Beneficiaries |
192 |
Number Of Black or African American Beneficiaries |
82 |
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 |
231 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0714 |