Medicare Facts for Dr. J C. Jackson, DO


National Provider Identifier [NPI]: 1942262399
Last Name Of The Provider JACKSON
First Name Of The Provider J
Middle Initial Of The Provider C
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 303 N CENTENNIAL WAY
Street Address 2 Of The Provider
City Of The Provider MESA
Zip Code Of The Provider 852016733
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Physical Medicine and Rehabilitation
Medicare Participation Indicator Y
Number Of HCPCS 56
Number Of Services 4511
Number Of Medicare Beneficiaries 495
Total Submitted Charge Amount 449626.39
Total Medicare Allowed Amount 244750.29
Total Medicare Payment Amount 183187.54
Total Medicare Standardized Payment Amount 174551.94
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 948
Number Of Medicare Beneficiaries With Drug Services 33
Total Drug Submitted ChargeAmount 15884.08
Total Drug Medicare AllowedAmount 4693.53
Total Drug Medicare PaymentAmount 3667.53
Total Drug Medicare Standardized Payment Amount 3667.53
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 50
Number Of Medical Services 3563
Number Of Medicare Beneficiaries With Medical Services 495
Total Medical Submitted Charge Amount 433742.31
Total Medical Medicare Allowed Amount 240056.76
Total Medical Medicare Payment Amount 179520.01
Total Medical Medicare Standardized Payment Amount 170884.41
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 186
Number Of Beneficiaries Age 65 to 74 170
Number Of Beneficiaries Age 75 to 84 93
Number Of Beneficiaries Age Greater 84 46
Number Of Female Beneficiaries 274
Number Of Male Beneficiaries 221
Number Of Non Hispanic White Beneficiaries 412
Number Of Black or African American Beneficiaries 28
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 27
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 350
Number Of Beneficiaries With Medicare Medicaid Entitlement 145
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 11
Percent Of With Cancer 8
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 37
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 1.6989

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