Medicare Facts for Dr. Sonny L. Johansson, MD


National Provider Identifier [NPI]: 1114975695
Last Name Of The Provider JOHANSSON
First Name Of The Provider SONNY
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 988102 NEBRASKA MEDICAL CTR
Street Address 2 Of The Provider
City Of The Provider OMAHA
Zip Code Of The Provider 681988102
State Code Of The Provider NE
Country Code Of The Provider US
Provider Type Of The Provider Pathology
Medicare Participation Indicator Y
Number Of HCPCS 7
Number Of Services 106
Number Of Medicare Beneficiaries 29
Total Submitted Charge Amount 13246.4
Total Medicare Allowed Amount 4317.41
Total Medicare Payment Amount 3384.88
Total Medicare Standardized Payment Amount 1914.53
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 7
Number Of Medical Services 106
Number Of Medicare Beneficiaries With Medical Services 29
Total Medical Submitted Charge Amount 13246.4
Total Medical Medicare Allowed Amount 4317.41
Total Medical Medicare Payment Amount 3384.88
Total Medical Medicare Standardized Payment Amount 1914.53
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 15
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries 29
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
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 75
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3507

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