National Provider Identifier [NPI]: |
1053304378 |
Last Name Of The Provider |
WARLING |
First Name Of The Provider |
TROY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2835 FORT MISSOULA RD |
Street Address 2 Of The Provider |
PHYSICIAN CENTER 3, SUITE 204 |
City Of The Provider |
MISSOULA |
Zip Code Of The Provider |
598047423 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
7776 |
Number Of Medicare Beneficiaries |
341 |
Total Submitted Charge Amount |
322495.85 |
Total Medicare Allowed Amount |
143221.71 |
Total Medicare Payment Amount |
100564.68 |
Total Medicare Standardized Payment Amount |
115117.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
6521 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
105028.3 |
Total Drug Medicare AllowedAmount |
52110.03 |
Total Drug Medicare PaymentAmount |
36787.27 |
Total Drug Medicare Standardized Payment Amount |
36787.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1255 |
Number Of Medicare Beneficiaries With Medical Services |
341 |
Total Medical Submitted Charge Amount |
217467.55 |
Total Medical Medicare Allowed Amount |
91111.68 |
Total Medical Medicare Payment Amount |
63777.41 |
Total Medical Medicare Standardized Payment Amount |
78329.94 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
107 |
Number Of Beneficiaries Age 75 to 84 |
84 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
207 |
Number Of Male Beneficiaries |
134 |
Number Of Non Hispanic White Beneficiaries |
323 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
223 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1928 |