Medicare Facts for Cynthia Jackson


National Provider Identifier [NPI]: 1114914124
Last Name Of The Provider JACKSON
First Name Of The Provider CYNTHIA
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 629D LOWTHER RD
Street Address 2 Of The Provider
City Of The Provider LEWISBERRY
Zip Code Of The Provider 173399527
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Diagnostic Radiology
Medicare Participation Indicator Y
Number Of HCPCS 110
Number Of Services 1444
Number Of Medicare Beneficiaries 1079
Total Submitted Charge Amount 193614
Total Medicare Allowed Amount 49614.46
Total Medicare Payment Amount 37564
Total Medicare Standardized Payment Amount 38738.43
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 110
Number Of Medical Services 1444
Number Of Medicare Beneficiaries With Medical Services 1079
Total Medical Submitted Charge Amount 193614
Total Medical Medicare Allowed Amount 49614.46
Total Medical Medicare Payment Amount 37564
Total Medical Medicare Standardized Payment Amount 38738.43
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 176
Number Of Beneficiaries Age 65 to 74 331
Number Of Beneficiaries Age 75 to 84 309
Number Of Beneficiaries Age Greater 84 263
Number Of Female Beneficiaries 652
Number Of Male Beneficiaries 427
Number Of Non Hispanic White Beneficiaries 988
Number Of Black or African American Beneficiaries 59
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 14
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 795
Number Of Beneficiaries With Medicare Medicaid Entitlement 284
Percent Of With Atrial Fibrillation 23
Percent Of With Alzheimers Disease or Dementia 21
Percent Of With Asthma 11
Percent Of With Cancer 15
Percent Of With Heart Failure 36
Percent Of With Chronic Kidney Disease 43
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 39
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 49
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders 12
Percent Of With Stroke 15
Average HCC Risk Score Of Beneficiaries 1.8272

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