National Provider Identifier [NPI]: |
1689867665 |
Last Name Of The Provider |
YOURD |
First Name Of The Provider |
SARAH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
733 WASHINGTON RD |
Street Address 2 Of The Provider |
SUITE 401 |
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152282022 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
268 |
Number Of Medicare Beneficiaries |
151 |
Total Submitted Charge Amount |
20191 |
Total Medicare Allowed Amount |
11773.57 |
Total Medicare Payment Amount |
8041.77 |
Total Medicare Standardized Payment Amount |
10170.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
1016 |
Total Drug Medicare AllowedAmount |
691.07 |
Total Drug Medicare PaymentAmount |
670.17 |
Total Drug Medicare Standardized Payment Amount |
670.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
245 |
Number Of Medicare Beneficiaries With Medical Services |
151 |
Total Medical Submitted Charge Amount |
19175 |
Total Medical Medicare Allowed Amount |
11082.5 |
Total Medical Medicare Payment Amount |
7371.6 |
Total Medical Medicare Standardized Payment Amount |
9500.47 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
55 |
Number Of Beneficiaries Age 75 to 84 |
31 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
105 |
Number Of Male Beneficiaries |
46 |
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 |
133 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2635 |