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Selena Renee Pevahouse

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NPI Number Detailed Information

Provider Information:

Name: Selena Renee Pevahouse
Gender: F
Provider License Number If Given: 26817

NPI Information:

NPI: 1063052116
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 1/7/2020

Last Update Date: 1/7/2020

Provider Business Mailing Address:

Address: PO BOX 54
Clifton, TN 38425
Phone Number: 7316071007
Fax Number:

Provider Business Practice Location Address:

Address: 110 MILLER DRIVE
Clifton, TN 38425
Phone Number: 7316071007
Fax Number:

Provider Taxonomy:

Primary: 363LP0808X
Secondary (if any):
State: TN

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About Selena Renee Pevahouse

Selena Renee Pevahouse ( SELENA RENEE PEVAHOUSE ) is Definition Nurse Practitioner Physician in Clifton, TN. The NPI Number for Selena Renee Pevahouse is 1063052116.
The current location address for Selena Renee Pevahouse is 110 MILLER DRIVE Clifton, TN 38425 and the contact number is 7316071007 and fax number is . The mailing address for Selena Renee Pevahouse is PO BOX 54 Clifton, TN 38425- 7316071007 (mailing address contact number - 7316071007).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Selena Renee Pevahouse ?


Answer: The NPI Number for Selena Renee Pevahouse is 1063052116

Where is Selena Renee Pevahouse located?


Answer: Selena Renee Pevahouse is located at 110 MILLER DRIVE Clifton, TN 38425.

What is the specialty for Selena Renee Pevahouse ?


Answer: The Specialty of Selena Renee Pevahouse is Definition Nurse Practitioner Physician.

Are there any online reviews for Selena Renee Pevahouse ?


Answer: Not yet!

Are there any other health care providers in Clifton, TN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Selena Renee Pevahouse

Number of HCPCS 10
Number of Medicare Beneficiaries 291
Number of Services 1044
Total Submitted Charge Amount 122644.87
Total Medicare Allowed Amount 78363.19
Total Medicare Payment Amount 59529.11
Total Medicare Standardized Payment Amount 61939.39
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 10
Number of Medicare Beneficiaries With Medical 291
Number of Medical Services 1044
Total Medical Submitted Charge Amount 122644.87
Total Medical Medicare Allowed Amount 78363.19
Total Medical Medicare Payment Amount 59529.11
Total Medical Medicare Standardized Payment Amount 61939.39
Average Age of Beneficiaries 79
Number of Beneficiaries Age Less 65 21
Number of Beneficiaries Age 65 to 74 72
Number of Beneficiaries Age 75 to 84 105
Number of Beneficiaries Age Greater 84 93
Number of Female Beneficiaries 199
Number of Male Beneficiaries 92
Number of Non-Hispanic White Beneficiaries 268
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 154
Number of Beneficiaries With Medicare Only Entitlement 137
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.16
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.75
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.43
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.66
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.26
Percent (%) of Beneficiaries Identified With Depression 0.75
Percent (%) of Beneficiaries Identified With Diabetes 0.44
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.73
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.48
Percent (%) of Beneficiaries Identified With Osteoporosis 0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.57
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.56
Percent (%) of Beneficiaries Identified With Stroke 0.13
Average HCC Risk Score of Beneficiaries 1.926

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 396
Number of Standardized 30-Day Fills 396
Aggregate Cost Paid for All Claims 6552.85
Number of Day's Supply for All Claims 4550
Number of Medicare Beneficiaries 35
Number of Claims, Including Refills, for Beneficiaries Age 65+ 381
Including Refills, for Beneficiaries Age 65+ 381
Beneficiaries Age 65+ 6145.27
Number of Day's Supply for All Claims for Beneficaries Age 65+ 4362
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 13
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 383
Aggregate Cost Paid for Generic Drugs 5240.93
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 183
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 3927.33
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 213
Aggregate Cost Paid for Claims Filled by 2625.52
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 268
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 4034.93
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 128
by Low-Income Subsidy 2517.92
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 20
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 614.44
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 79.685714286
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 32
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement 12
Average Hierarchical Condition Category 1.6516857143

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Selena Renee Pevahouse in Other Directories

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