Medicare Facts for Ellen F. Bargeron, LPC


National Provider Identifier [NPI]: 1427207950
Last Name Of The Provider BARGERON
First Name Of The Provider ELLEN
Middle Initial Of The Provider F
Credentials Of The Provider LPC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1361 JENNINGS MILL RD
Street Address 2 Of The Provider SUITE 201
City Of The Provider BOGART
Zip Code Of The Provider 306222579
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 152
Number Of Medicare Beneficiaries 17
Total Submitted Charge Amount 24480
Total Medicare Allowed Amount 9830.55
Total Medicare Payment Amount 7502.56
Total Medicare Standardized Payment Amount 7670.24
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 4
Number Of Medical Services 152
Number Of Medicare Beneficiaries With Medical Services 17
Total Medical Submitted Charge Amount 24480
Total Medical Medicare Allowed Amount 9830.55
Total Medical Medicare Payment Amount 7502.56
Total Medical Medicare Standardized Payment Amount 7670.24
Average Age Of Beneficiaries 60
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84 0
Number Of Beneficiaries Age Greater 84 0
Number Of Female Beneficiaries
Number Of Male Beneficiaries
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 0
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 71
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.0282

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