Medicare Facts for Elizabeth Vernon, MSW


National Provider Identifier [NPI]: 1750661609
Last Name Of The Provider VERNON
First Name Of The Provider ELIZABETH
Middle Initial Of The Provider
Credentials Of The Provider M.S.W.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1140 N HUDSON AVE
Street Address 2 Of The Provider
City Of The Provider OKLAHOMA CITY
Zip Code Of The Provider 731033918
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 2
Number Of Services 51
Number Of Medicare Beneficiaries 47
Total Submitted Charge Amount 7400
Total Medicare Allowed Amount 4958.16
Total Medicare Payment Amount 3251.94
Total Medicare Standardized Payment Amount 3371.27
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 2
Number Of Medical Services 51
Number Of Medicare Beneficiaries With Medical Services 47
Total Medical Submitted Charge Amount 7400
Total Medical Medicare Allowed Amount 4958.16
Total Medical Medicare Payment Amount 3251.94
Total Medical Medicare Standardized Payment Amount 3371.27
Average Age Of Beneficiaries 47
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 22
Number Of Male Beneficiaries 25
Number Of Non Hispanic White Beneficiaries 26
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 12
Number Of Beneficiaries With Medicare Medicaid Entitlement 35
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 0
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 74
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia
Percent Of With Hypertension 47
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis 23
Percent Of With Schizophrenia Other PsychoticDisorders 47
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9875

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