Medicare Facts for Gail L. Smith


National Provider Identifier [NPI]: 1851380380
Last Name Of The Provider SMITH
First Name Of The Provider GAIL
Middle Initial Of The Provider L
Credentials Of The Provider LCSW LMFT ACSW
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 404 FAIRGROUNDS RD
Street Address 2 Of The Provider
City Of The Provider TIPTON
Zip Code Of The Provider 460729596
State Code Of The Provider IN
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 160
Number Of Medicare Beneficiaries 25
Total Submitted Charge Amount 32312
Total Medicare Allowed Amount 15111.92
Total Medicare Payment Amount 11268.12
Total Medicare Standardized Payment Amount 11540.87
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 160
Number Of Medicare Beneficiaries With Medical Services 25
Total Medical Submitted Charge Amount 32312
Total Medical Medicare Allowed Amount 15111.92
Total Medical Medicare Payment Amount 11268.12
Total Medical Medicare Standardized Payment Amount 11540.87
Average Age Of Beneficiaries 56
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
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries 25
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 0
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 75
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension 52
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.5695

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