National Provider Identifier [NPI]: |
1568701662 |
Last Name Of The Provider |
HUTSON |
First Name Of The Provider |
TRISHA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
FNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
30 BURTON HILLS BLVD |
Street Address 2 Of The Provider |
STE 576 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372156140 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
648 |
Number Of Medicare Beneficiaries |
208 |
Total Submitted Charge Amount |
33465.41 |
Total Medicare Allowed Amount |
24331.45 |
Total Medicare Payment Amount |
16998.72 |
Total Medicare Standardized Payment Amount |
21785.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
199 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
2164 |
Total Drug Medicare AllowedAmount |
463.44 |
Total Drug Medicare PaymentAmount |
425.93 |
Total Drug Medicare Standardized Payment Amount |
425.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
449 |
Number Of Medicare Beneficiaries With Medical Services |
196 |
Total Medical Submitted Charge Amount |
31301.41 |
Total Medical Medicare Allowed Amount |
23868.01 |
Total Medical Medicare Payment Amount |
16572.79 |
Total Medical Medicare Standardized Payment Amount |
21359.11 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
87 |
Number Of Beneficiaries Age 75 to 84 |
52 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
135 |
Number Of Male Beneficiaries |
73 |
Number Of Non Hispanic White Beneficiaries |
187 |
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 |
165 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0967 |