Medicare Facts for Jamie M. Logan


National Provider Identifier [NPI]: 1144206889
Last Name Of The Provider LOGAN
First Name Of The Provider JAMIE
Middle Initial Of The Provider R
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 5721 W 119TH ST
Street Address 2 Of The Provider
City Of The Provider OVERLAND PARK
Zip Code Of The Provider 662093722
State Code Of The Provider KS
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 70
Number Of Medicare Beneficiaries 70
Total Submitted Charge Amount 33390
Total Medicare Allowed Amount 6651.82
Total Medicare Payment Amount 4665.73
Total Medicare Standardized Payment Amount 4833.06
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 21
Number Of Medical Services 70
Number Of Medicare Beneficiaries With Medical Services 70
Total Medical Submitted Charge Amount 33390
Total Medical Medicare Allowed Amount 6651.82
Total Medical Medicare Payment Amount 4665.73
Total Medical Medicare Standardized Payment Amount 4833.06
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 43
Number Of Beneficiaries Age 75 to 84 15
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 35
Number Of Male Beneficiaries 35
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
Percent Of With Asthma
Percent Of With Cancer 17
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 17
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7984

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