Medicare Facts for Chad D. Smith, PA-C


National Provider Identifier [NPI]: 1770627051
Last Name Of The Provider SMITH
First Name Of The Provider CHAD
Middle Initial Of The Provider D
Credentials Of The Provider PAC
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 370 N 120TH AVE
Street Address 2 Of The Provider
City Of The Provider HOLLAND
Zip Code Of The Provider 494242196
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 86
Number Of Medicare Beneficiaries 44
Total Submitted Charge Amount 58446
Total Medicare Allowed Amount 7908.47
Total Medicare Payment Amount 6082.74
Total Medicare Standardized Payment Amount 6209.59
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 17
Number Of Medical Services 86
Number Of Medicare Beneficiaries With Medical Services 44
Total Medical Submitted Charge Amount 58446
Total Medical Medicare Allowed Amount 7908.47
Total Medical Medicare Payment Amount 6082.74
Total Medical Medicare Standardized Payment Amount 6209.59
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 20
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 21
Number Of Male Beneficiaries 23
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 34
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0354

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