Medicare Facts for Dr. Jessica L. Hansen, DO


National Provider Identifier [NPI]: 1679646921
Last Name Of The Provider HANSEN
First Name Of The Provider JESSICA
Middle Initial Of The Provider K
Credentials Of The Provider PA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 147 WESTBROOK RD
Street Address 2 Of The Provider
City Of The Provider ESSEX
Zip Code Of The Provider 064261512
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 46
Number Of Services 568
Number Of Medicare Beneficiaries 194
Total Submitted Charge Amount 55983.1
Total Medicare Allowed Amount 28402.5
Total Medicare Payment Amount 19457.06
Total Medicare Standardized Payment Amount 21703.3
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 155
Number Of Medicare Beneficiaries With Drug Services 25
Total Drug Submitted ChargeAmount 5382.4
Total Drug Medicare AllowedAmount 2240.21
Total Drug Medicare PaymentAmount 1836.22
Total Drug Medicare Standardized Payment Amount 1836.22
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 37
Number Of Medical Services 413
Number Of Medicare Beneficiaries With Medical Services 194
Total Medical Submitted Charge Amount 50600.7
Total Medical Medicare Allowed Amount 26162.29
Total Medical Medicare Payment Amount 17620.84
Total Medical Medicare Standardized Payment Amount 19867.08
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 29
Number Of Beneficiaries Age 65 to 74 59
Number Of Beneficiaries Age 75 to 84 52
Number Of Beneficiaries Age Greater 84 54
Number Of Female Beneficiaries 141
Number Of Male Beneficiaries 53
Number Of Non Hispanic White Beneficiaries 182
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 121
Number Of Beneficiaries With Medicare Medicaid Entitlement 73
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 25
Percent Of With Asthma 6
Percent Of With Cancer 8
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 23
Percent Of With Diabetes 20
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 13
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2781

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