National Provider Identifier [NPI]: |
1831287663 |
Last Name Of The Provider |
BADAL |
First Name Of The Provider |
SHAWN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
CNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2700 ROBERT T LONGWAY BLVD |
Street Address 2 Of The Provider |
STE #A |
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485032190 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
2355 |
Number Of Medicare Beneficiaries |
543 |
Total Submitted Charge Amount |
207603 |
Total Medicare Allowed Amount |
124091.27 |
Total Medicare Payment Amount |
94357.06 |
Total Medicare Standardized Payment Amount |
113384.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
139 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
3368 |
Total Drug Medicare AllowedAmount |
1690.5 |
Total Drug Medicare PaymentAmount |
1649.4 |
Total Drug Medicare Standardized Payment Amount |
1649.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2216 |
Number Of Medicare Beneficiaries With Medical Services |
543 |
Total Medical Submitted Charge Amount |
204235 |
Total Medical Medicare Allowed Amount |
122400.77 |
Total Medical Medicare Payment Amount |
92707.66 |
Total Medical Medicare Standardized Payment Amount |
111735.59 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
336 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
386 |
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 |
276 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
267 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
26 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9361 |