Medicare Facts for Dr. Jon A. Glass, PHD


National Provider Identifier [NPI]: 1366727356
Last Name Of The Provider GLASS
First Name Of The Provider JON
Middle Initial Of The Provider A
Credentials Of The Provider PH.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 120 E 2ND ST
Street Address 2 Of The Provider 3RD FLOOR
City Of The Provider ERIE
Zip Code Of The Provider 165071537
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Clinical Psychologist
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 789
Number Of Medicare Beneficiaries 347
Total Submitted Charge Amount 92664
Total Medicare Allowed Amount 64714.24
Total Medicare Payment Amount 50205.31
Total Medicare Standardized Payment Amount 46244.25
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 14
Number Of Medical Services 789
Number Of Medicare Beneficiaries With Medical Services 347
Total Medical Submitted Charge Amount 92664
Total Medical Medicare Allowed Amount 64714.24
Total Medical Medicare Payment Amount 50205.31
Total Medical Medicare Standardized Payment Amount 46244.25
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 80
Number Of Beneficiaries Age 65 to 74 92
Number Of Beneficiaries Age 75 to 84 99
Number Of Beneficiaries Age Greater 84 76
Number Of Female Beneficiaries 178
Number Of Male Beneficiaries 169
Number Of Non Hispanic White Beneficiaries 327
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 185
Number Of Beneficiaries With Medicare Medicaid Entitlement 162
Percent Of With Atrial Fibrillation 22
Percent Of With Alzheimers Disease or Dementia 51
Percent Of With Asthma 12
Percent Of With Cancer 14
Percent Of With Heart Failure 40
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 31
Percent Of With Depression 58
Percent Of With Diabetes 48
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 54
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 51
Percent Of With Schizophrenia Other PsychoticDisorders 19
Percent Of With Stroke 23
Average HCC Risk Score Of Beneficiaries 2.0525

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