National Provider Identifier [NPI]: |
1174834063 |
Last Name Of The Provider |
BARKMEIER |
First Name Of The Provider |
TRAVIS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
APRN |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3901 PINE LAKE RD |
Street Address 2 Of The Provider |
SUITE 211 |
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685165497 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
580 |
Number Of Medicare Beneficiaries |
98 |
Total Submitted Charge Amount |
57974 |
Total Medicare Allowed Amount |
26255.19 |
Total Medicare Payment Amount |
16703.85 |
Total Medicare Standardized Payment Amount |
23363.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
77 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
1036 |
Total Drug Medicare AllowedAmount |
554.01 |
Total Drug Medicare PaymentAmount |
507.1 |
Total Drug Medicare Standardized Payment Amount |
507.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
503 |
Number Of Medicare Beneficiaries With Medical Services |
98 |
Total Medical Submitted Charge Amount |
56938 |
Total Medical Medicare Allowed Amount |
25701.18 |
Total Medical Medicare Payment Amount |
16196.75 |
Total Medical Medicare Standardized Payment Amount |
22856.31 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
49 |
Number Of Beneficiaries Age 75 to 84 |
19 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
59 |
Number Of Male Beneficiaries |
39 |
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 |
83 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
17 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8659 |