MedicalPeople

Laurel Foster, MS, MSN, APRN, CNL, FNP-C

 

 

Case Log Totals: All Dates
Overall
Total Cases Entered:
539
Total Unique Patients:
538
Total Days with Cases:
65
Total Patient Hours:
380.4 (+ 156.5 Total Consult Hours = ~536.9 Hours)
Average Case Load per Case Day:
8
Average Time Spent with Patients:
42 minutes
Rural Visits:
1 patients  
Underserved Area/Population:
2 patients  
Group Encounters:
1 sessions  
Age
MAIN CATEGORIES
COUNT
HOURS   
<2 yrs:
6
3.0
2-4 yrs:
9
4.5
5-11 yrs:
22
11.0
12-17 yrs:
10
5.0
18-49 yrs:
136
92.5
50-61 yrs:
152
114.6
>=62 yrs:
203
149.3
Unmarked:
1
0.5
INFANTS
COUNT
HOURS   
Prenatal:
4
2.0
0-3 mo:
0
0.0
4-6 mo:
0
0.0
7-12 mo:
1
0.5
13-18 mo:
0
0.0
19-23 mo:
5
2.5
GERIATRICS
COUNT
HOURS   
62-74 yrs:
142
104.5
75-84 yrs:
48
35.8
85-89 yrs:
12
8.3
>=90 yrs:
1
0.8
Chart
Race
White Non-Hispanic:
488
Black:
23
Hispanic:
12
Asian:
5
Amer Indian/Alaskan:
0
Hawaiian/Pacific Isl:
0
Other Race:
11
Unmarked:
0
Chart
Biological Sex
Male:
193
Female:
345
Other:
0
Unmarked:
1
Chart
Insurance
None:
24
HMO:
2
PPO:
280
Private:
68
Medicaid:
13
Medicaid/HMO:
2
Medicaid/PPO:
10
Medicare:
97
Medicare/HMO:
5
Medicare/PPO:
27
Dual Eligible:
0
Work Comp:
0
Other:
11
Unmarked:
0
Chart
Type of Decision-Making
Straight forward:
403
Low Complexity:
93
Moderate Complexity:
41
High Complexity:
2
Unmarked:
0
Chart
Student Participation
Observation only:
18
Less than shared:
34
Shared:
127
Primary (>50%):
360
Unmarked:
0
Chart
Reason for Visit
Annual/Well-Person Exam:
44
Employment Physical:
1
Episodic:
180
ER/ED Visit:
0
Follow-up (Consult):
0
Follow-up (Hospital Visit):
9
Follow-up (Routine):
243
Initial Visit:
48
Long Term Care:
0
New Admit:
0
New Consult:
0
Nursing Home Visit:
0
Pt/Fam.Ed./Counseling:
0
Scheduled Procedure:
5
Screening/Health Promo:
0
Sports Physical:
3
Other:
6
Unmarked:
0
Chart
Type of H & P
Problem Focused:
406
Expanded Problem Focused:
109
Detailed:
22
Comprehensive:
2
Unmarked:
0
Chart
Procedures/Skills
The minimum requirements are optionally entered by the administrator.  Items with minimums will appear in red if the minimum has not been met, and will turn to blue once the minimum has been met. Critical items in bold.
CATEGORY: Women's Health
OBS
ASST
PERF
MINIMUM
SUB-CATEGORY
3
0
4
Bacterial culture
0
0
34
Breast exam
0
1
15
Cervical GC/chlamydia
0
0
0
Chronic illness management
0
2
7
Contraceptive education
8
4
2
Episodic illness management
2
3
3
Hormone replacement therapy education
0
0
0
IUD insertion
0
0
0
KOH
0
0
25
Lymph node palpation
6
2
28
Pap smear
7
4
20
(5) Perf
Pelvic exam
6
1
13
Post-menopausal pelvic
1
3
0
Pregnant pelvic exam
0
1
32
Self breast exam education
1
0
1
Thyroid palpation
0
0
0
Viral culture
0
0
0
Wet prep
CATEGORY: Pediatrics
OBS
ASST
PERF
MINIMUM
SUB-CATEGORY
0
0
0
Abuse/neglect screening
0
0
1
Administration of small volume nebulizer (SVN) therapy
2
2
0
Anticipatory guidance
0
0
0
Birth history
0
0
0
Casting/splinting
0
0
0
Chronic illness management
0
0
0
Diagnostic use of woods light/slit lamp
2
40
0
Episodic illness management
0
1
0
Foreign body removal
0
0
0
Genitalia exam - female
0
0
0
Genitalia exam - male
0
2
0
Growth and development interview
0
0
0
High-risk behaviors
0
0
0
Medication review
0
2
0
Mental health assessments
0
0
0
Nasal swab
1
2
0
Nutrition history/status
0
0
0
Pain assessment
0
0
0
Parental reactions to child
0
0
0
Pregnancy history
0
0
0
Specimen collection
0
0
0
Spirometry
0
0
0
Substance abuse/diversion screening
0
0
0
Tanner’s stage
0
2
5
Throat culture/rapid strep
1
0
0
Vaccination status
CATEGORY: Adult & Geriatric
OBS
ASST
PERF
MINIMUM
SUB-CATEGORY
0
0
0
Abuse/neglect screening
1
0
3
Administration of small volume nebulizer (SVN) therapy
0
0
0
Anoscopy
3
1
3
Anxiety screening
0
0
0
Casting/splinting
3
2
193
Chronic illness management
1
0
4
Cognitive assessment
0
0
0
Cryotherapy
1
0
10
Depression screening
0
0
0
Diagnostic use of woods light/slit lamp
0
1
7
ECG interpretation
0
0
0
Elliptical biopsy
5
4
181
Episodic illness management
0
0
0
Foreign body removal
0
0
4
Functional assessment - geriatric
0
0
4
Genitalia exam - female
0
0
0
Genitalia exam - male
0
0
0
I&D
1
0
0
Joint injection/aspiration
0
0
0
Prostate exam
1
0
1
Psychosocial history
0
0
0
Punch biopsy
0
0
0
Spirometry
0
0
0
Suturing
0
0
0
Toenail removal
0
1
3
X-ray interpretation
CATEGORY: Patient Education
OBS
ASST
PERF
MINIMUM
SUB-CATEGORY
2
2
232
Cardiac risk factor modification
0
0
4
COPD non-pharmacological measures
1
1
61
Diabetes education
4
4
258
Exercise
2
2
216
Lipid modification diet
12
6
304
Medication teaching/polypharmacy
1
2
73
Osteoporosis prevention
0
2
12
Smoking cessation
CATEGORY: Physical Assessment
OBS
ASST
PERF
MINIMUM
SUB-CATEGORY
4
0
174
Abdomen
12
2
475
Cardiovascular
0
0
127
Ears
1
0
69
Eyes
9
1
480
General appearance and behavior
0
0
56
Head and face
1
0
52
Mouth
1
0
109
Musculoskeletal
1
0
74
Neck
0
1
115
Nose
12
1
471
Respiratory
4
1
166
Skin and hair
1
1
117
Throat
1
0
57
Thyroid
Top 25 ICD-10 Diagnosis Categories
TOTAL
DESCRIPTION [Click category for detail]
141
i10 - ESSENTIAL (PRIMARY) HYPERTENSION
138
e78 - DISORDERS OF LIPOPROTEIN METABOLISM AND OTHER LIPIDEMIAS
55
e11 - TYPE 2 DIABETES MELLITUS
51
f41 - OTHER ANXIETY DISORDERS
41
e66 - OVERWEIGHT AND OBESITY
41
z01 - ENCNTR FOR OTH SP EXAM W/O COMPLAINT, SUSPECTED OR REPRTD DX
37
e03 - OTHER HYPOTHYROIDISM
36
m54 - DORSALGIA
32
r05 - COUGH
30
z00 - ENCNTR FOR GENERAL EXAM W/O COMPLAINT, SUSP OR REPRTD DX
28
m25 - OTHER JOINT DISORDER, NOT ELSEWHERE CLASSIFIED
27
k21 - GASTRO-ESOPHAGEAL REFLUX DISEASE
25
g47 - SLEEP DISORDERS
23
r53 - MALAISE AND FATIGUE
22
e55 - VITAMIN D DEFICIENCY
20
f32 - DEPRESSIVE EPISODE
20
j02 - ACUTE PHARYNGITIS
20
j06 - ACUTE UPPER RESP INFECTIONS OF MULTIPLE AND UNSP SITES
19
n95 - MENOPAUSAL AND OTHER PERIMENOPAUSAL DISORDERS
17
h66 - SUPPURATIVE AND UNSPECIFIED OTITIS MEDIA
17
r60 - EDEMA, NOT ELSEWHERE CLASSIFIED
16
j30 - VASOMOTOR AND ALLERGIC RHINITIS
14
r73 - ELEVATED BLOOD GLUCOSE LEVEL
14
z68 - BODY MASS INDEX [BMI]
13
d64 - OTHER ANEMIAS
Top 25 CPT Billing Codes
TOTAL
DESCRIPTION
316
99213 - OFFICE/OP VISIT, EST PT, MEDICALLY APPROPRIATE HX/EXAM; LOW LEVEL MED DECISION; 20+ MIN
116
99214 - OFFICE/OP VISIT, EST PT, MEDICALLY APPROPRIATE HX/EXAM; MODERATE LEVEL MED DECISION; 30+ MIN
30
36415 - COLLECTION, VENOUS BLOOD, VENIPUNCTURE
26
99204 - OFFICE/OP VISIT, NEW PT, MEDICALLY APPROPRIATE HX/EXAM; MODERATE LEVEL MED DECISION; 45+ MIN
22
99396 - PERIODIC COMPREHENSIVE PREVENTIVE MEDICINE E&M W/HX/EXAM, EST PT; 40-64 YR
17
99203 - OFFICE/OP VISIT, NEW PT, MEDICALLY APPROPRIATE HX/EXAM; LOW LEVEL MED DECISION; 30+ MIN
8
99397 - PERIODIC COMPREHENSIVE PREVENTIVE MEDICINE E&M W/HX/EXAM, EST PT; 65+ YR
6
81000 - URINALYSIS, DIP STICK/TABLET REAGENT; NON-AUTOMATED W/MICROSCOPY
6
99212 - OFFICE/OP VISIT, EST PT, MEDICALLY APPROPRIATE HX/EXAM; STRTFWD MED DECISION; 10+ MIN
4
99395 - PERIODIC COMPREHENSIVE PREVENTIVE MEDICINE E&M W/HX/EXAM, EST PT; 18-39 YR
3
88142 - CYTOPATHOLOGY, CERVICAL/VAGINAL, PRESERVATIVE FLUID, AUTO THIN LAYER PREP; MANUAL SCREEN
3
99385 - INITIAL COMPREHENSIVE PREVENTIVE MEDICINE E&M W/HX/EXAM, NEW PT; 18-39 YR
2
20552 - INJECTION(S); SINGLE/MULTIPLE TRIGGER POINT(S), 1-2 MUSCLES
2
58558 - HYSTEROSCOPY, SURGICAL; W/ENDOMETRIAL BX &/OR POLYPECTOMY W/WO D&C
2
59425 - ANTEPARTUM CARE ONLY; 4 TO 6 VISITS
2
81001 - URINALYSIS, DIP STICK/TABLET REAGENT; AUTOMATED W/MICROSCOPY
2
87880 - INFECTIOUS AGENT, IMMUNOASSAY, DIRECT OBSERVATION; STREPOCOCCUS GROUP A
2
93010 - ELECTROCARDIOGRAM, ROUTINE W/AT LEAST 12 LEADS; INTERPRETATION & REPORT ONLY
2
99202 - OFFICE/OP VISIT, NEW PT, MEDICALLY APPROPRIATE HX/EXAM; STRTFWD MED DECISION; 15+ MIN
2
99496 - TRANSITIONAL CARE MANAGEMENT SERVICE; 7 DAY DISCHARGE
1
0502F - SUBSEQUENT PRENATAL CARE VISIT
1
11055 - PARING/CUTTING, BENIGN HYPERKERATOTIC LESION; SINGLE LESION
1
11403 - EXCISE, BENIGN SKIN LESION, INCL MARGINS, EXCEPT SKIN TAG, TRUNK/ARMS/LEGS; EXCISED DIAM 2.1-3.0 CM
1
20551 - INJECTION(S); SINGLE TENDON ORIGIN/INSERTION
1
55942 is not a valid CPT code.
Medication Categories
TOTAL
CATEGORY [Click category for detail]
38
Analgesic & Antipyretic
142
Cardiology
10
Dermatology
48
Endocrinology
27
ENT
39
GI Agents
17
Gynecology
0
Hematology/Oncology
82
Infectious Diseases
13
Neurology
2
Ophthalmology
51
Psychiatric
24
Pulmonary
6
Rheumatology
4
Urology
0
Vaccines
0
Wound Management
70
Miscellaneous
Chart
Focus Area
FNP_Adult & Geriatric:
428   
FNP_Pediatrics:
48   
FNP_Primary Care: Cardiology:
0   
FNP_Primary Care: Dermatology:
0   
FNP_Primary Care: Endocrinology:
0   
FNP_Primary Care: Gastroenterology (GI):
0   
FNP_Primary Care: Psych/Mental Health:
0   
FNP_Primary Care: Pulmonology:
0   
FNP_Primary Care: Urgent Care:
0   
FNP_Women's Health:
63   
PMH_Adult (age 18-61):
0   
PMH_Geriatric (age 62+):
0   
PMH_Pediatric/Adolescent:
0   
PMH_Psychotherapy_Family:
0   
PMH_Psychotherapy_Group:
0   
PMH_Psychotherapy_Individual:
0   
PMH_Psychotherapy_Other:
0   
Telehealth:
0   
Unmarked:
0