Medicare Facts for Dr. Sarah S. Puckett, DO


National Provider Identifier [NPI]: 1831199421
Last Name Of The Provider PUCKETT
First Name Of The Provider SARAH
Middle Initial Of The Provider S
Credentials Of The Provider DO
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 5308 HARROUN RD
Street Address 2 Of The Provider SUITE 150
City Of The Provider SYLVANIA
Zip Code Of The Provider 435602193
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Obstetrics/Gynecology
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 65
Number Of Medicare Beneficiaries 43
Total Submitted Charge Amount 14760.27
Total Medicare Allowed Amount 5889.8
Total Medicare Payment Amount 4166.42
Total Medicare Standardized Payment Amount 4717.81
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 12
Number Of Medical Services 65
Number Of Medicare Beneficiaries With Medical Services 43
Total Medical Submitted Charge Amount 14760.27
Total Medical Medicare Allowed Amount 5889.8
Total Medical Medicare Payment Amount 4166.42
Total Medical Medicare Standardized Payment Amount 4717.81
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 12
Number Of Beneficiaries Age 65 to 74 20
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 43
Number Of Male Beneficiaries 0
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 26
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8725

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