National Provider Identifier [NPI]: |
1386642940 |
Last Name Of The Provider |
BARNES |
First Name Of The Provider |
ANITA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
233 HURST ST STE B |
Street Address 2 Of The Provider |
|
City Of The Provider |
CENTER |
Zip Code Of The Provider |
759354321 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
1313 |
Number Of Medicare Beneficiaries |
260 |
Total Submitted Charge Amount |
77814 |
Total Medicare Allowed Amount |
28382.91 |
Total Medicare Payment Amount |
21774.89 |
Total Medicare Standardized Payment Amount |
26739.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
701 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
8720 |
Total Drug Medicare AllowedAmount |
2116.38 |
Total Drug Medicare PaymentAmount |
2005.3 |
Total Drug Medicare Standardized Payment Amount |
2005.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
612 |
Number Of Medicare Beneficiaries With Medical Services |
258 |
Total Medical Submitted Charge Amount |
69094 |
Total Medical Medicare Allowed Amount |
26266.53 |
Total Medical Medicare Payment Amount |
19769.59 |
Total Medical Medicare Standardized Payment Amount |
24734.54 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
102 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
160 |
Number Of Male Beneficiaries |
100 |
Number Of Non Hispanic White Beneficiaries |
215 |
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 |
179 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0451 |