National Provider Identifier [NPI]: |
1881970762 |
Last Name Of The Provider |
SIMILIEN |
First Name Of The Provider |
SHEILIA |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
ARNP, FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7727 LAKE UNDERHILL RD |
Street Address 2 Of The Provider |
GLYCEMIC MANAGEMENT |
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328228224 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
5 |
Number Of Services |
744 |
Number Of Medicare Beneficiaries |
266 |
Total Submitted Charge Amount |
110016 |
Total Medicare Allowed Amount |
54267.92 |
Total Medicare Payment Amount |
42421.23 |
Total Medicare Standardized Payment Amount |
49178.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
5 |
Number Of Medical Services |
744 |
Number Of Medicare Beneficiaries With Medical Services |
266 |
Total Medical Submitted Charge Amount |
110016 |
Total Medical Medicare Allowed Amount |
54267.92 |
Total Medical Medicare Payment Amount |
42421.23 |
Total Medical Medicare Standardized Payment Amount |
49178.57 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
76 |
Number Of Beneficiaries Age 75 to 84 |
80 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
164 |
Number Of Male Beneficiaries |
102 |
Number Of Non Hispanic White Beneficiaries |
125 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
112 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
111 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
74 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
51 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
3.97 |