National Provider Identifier [NPI]: |
1710919857 |
Last Name Of The Provider |
HUNTER |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
45081 LITTLE LAKE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MENDOCINO |
Zip Code Of The Provider |
95460 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
727 |
Number Of Medicare Beneficiaries |
261 |
Total Submitted Charge Amount |
103615.51 |
Total Medicare Allowed Amount |
45897.43 |
Total Medicare Payment Amount |
31030.25 |
Total Medicare Standardized Payment Amount |
36166.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
1510 |
Total Drug Medicare AllowedAmount |
623.96 |
Total Drug Medicare PaymentAmount |
587.71 |
Total Drug Medicare Standardized Payment Amount |
587.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
688 |
Number Of Medicare Beneficiaries With Medical Services |
261 |
Total Medical Submitted Charge Amount |
102105.51 |
Total Medical Medicare Allowed Amount |
45273.47 |
Total Medical Medicare Payment Amount |
30442.54 |
Total Medical Medicare Standardized Payment Amount |
35578.81 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
147 |
Number Of Beneficiaries Age 75 to 84 |
76 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
217 |
Number Of Male Beneficiaries |
44 |
Number Of Non Hispanic White Beneficiaries |
248 |
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 |
242 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6896 |