Medicare Facts for Dr. Jaime K. Dodge, MD


National Provider Identifier [NPI]: 1295753531
Last Name Of The Provider DODGE
First Name Of The Provider JAIME
Middle Initial Of The Provider K
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2501 PIERCE ST
Street Address 2 Of The Provider
City Of The Provider SIOUX CITY
Zip Code Of The Provider 511043725
State Code Of The Provider IA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 147
Number Of Services 3423
Number Of Medicare Beneficiaries 504
Total Submitted Charge Amount 286780.35
Total Medicare Allowed Amount 147987.01
Total Medicare Payment Amount 107721.11
Total Medicare Standardized Payment Amount 117814.24
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 10
Number Of Drug Services 207
Number Of Medicare Beneficiaries With Drug Services 85
Total Drug Submitted ChargeAmount 2374
Total Drug Medicare AllowedAmount 1263.12
Total Drug Medicare PaymentAmount 1130.97
Total Drug Medicare Standardized Payment Amount 1130.97
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 137
Number Of Medical Services 3216
Number Of Medicare Beneficiaries With Medical Services 504
Total Medical Submitted Charge Amount 284406.35
Total Medical Medicare Allowed Amount 146723.89
Total Medical Medicare Payment Amount 106590.14
Total Medical Medicare Standardized Payment Amount 116683.27
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 63
Number Of Beneficiaries Age 65 to 74 168
Number Of Beneficiaries Age 75 to 84 177
Number Of Beneficiaries Age Greater 84 96
Number Of Female Beneficiaries 271
Number Of Male Beneficiaries 233
Number Of Non Hispanic White Beneficiaries 481
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 412
Number Of Beneficiaries With Medicare Medicaid Entitlement 92
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 4
Percent Of With Cancer 8
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 25
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.2064

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