Medicare Facts for Dr. Jacob L. Sellon, MD


National Provider Identifier [NPI]: 1902892896
Last Name Of The Provider SELLON
First Name Of The Provider JACOB
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 1ST ST SW
Street Address 2 Of The Provider
City Of The Provider ROCHESTER
Zip Code Of The Provider 559050001
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Physical Medicine and Rehabilitation
Medicare Participation Indicator Y
Number Of HCPCS 31
Number Of Services 1301
Number Of Medicare Beneficiaries 246
Total Submitted Charge Amount 60138.8
Total Medicare Allowed Amount 46946.72
Total Medicare Payment Amount 35288.28
Total Medicare Standardized Payment Amount 37879.63
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 807
Number Of Medicare Beneficiaries With Drug Services 125
Total Drug Submitted ChargeAmount 8872.59
Total Drug Medicare AllowedAmount 8410.74
Total Drug Medicare PaymentAmount 6320.92
Total Drug Medicare Standardized Payment Amount 6320.92
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 494
Number Of Medicare Beneficiaries With Medical Services 244
Total Medical Submitted Charge Amount 51266.21
Total Medical Medicare Allowed Amount 38535.98
Total Medical Medicare Payment Amount 28967.36
Total Medical Medicare Standardized Payment Amount 31558.71
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 29
Number Of Beneficiaries Age 65 to 74 119
Number Of Beneficiaries Age 75 to 84 80
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 123
Number Of Male Beneficiaries 123
Number Of Non Hispanic White Beneficiaries 233
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 225
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 22
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1603

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