Medicare Facts for Jack K. Benson, MA


National Provider Identifier [NPI]: 1972512655
Last Name Of The Provider BENSON
First Name Of The Provider JACK
Middle Initial Of The Provider N
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 19841 N 27TH AVE
Street Address 2 Of The Provider SUITE 201
City Of The Provider PHOENIX
Zip Code Of The Provider 850274005
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 63
Number Of Services 1796
Number Of Medicare Beneficiaries 299
Total Submitted Charge Amount 502297.48
Total Medicare Allowed Amount 230118.9
Total Medicare Payment Amount 172563.85
Total Medicare Standardized Payment Amount 175737.85
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 17
Number Of Beneficiaries Age 65 to 74 170
Number Of Beneficiaries Age 75 to 84 87
Number Of Beneficiaries Age Greater 84 25
Number Of Female Beneficiaries 83
Number Of Male Beneficiaries 216
Number Of Non Hispanic White Beneficiaries 258
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 15
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 12
Number Of Beneficiaries With Medicare Only Entitlement 284
Number Of Beneficiaries With Medicare Medicaid Entitlement 15
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 9
Percent Of With Cancer 15
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 43
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 19
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.151

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