National Provider Identifier [NPI]: |
1215044326 |
Last Name Of The Provider |
THUROW |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
APNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
216 GREEN BAY RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
THIENSVILLE |
Zip Code Of The Provider |
530921956 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
278 |
Number Of Medicare Beneficiaries |
29 |
Total Submitted Charge Amount |
37683.8 |
Total Medicare Allowed Amount |
22820.83 |
Total Medicare Payment Amount |
15423.79 |
Total Medicare Standardized Payment Amount |
20857.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
406.8 |
Total Drug Medicare AllowedAmount |
317.62 |
Total Drug Medicare PaymentAmount |
310.79 |
Total Drug Medicare Standardized Payment Amount |
310.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
264 |
Number Of Medicare Beneficiaries With Medical Services |
29 |
Total Medical Submitted Charge Amount |
37277 |
Total Medical Medicare Allowed Amount |
22503.21 |
Total Medical Medicare Payment Amount |
15113 |
Total Medical Medicare Standardized Payment Amount |
20546.86 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
12 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
0 |
Percent Of With Asthma |
|
Percent Of With Cancer |
0 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
|
Percent Of With Diabetes |
|
Percent Of With Hyperlipidemia |
|
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
|
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
|
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6499 |