Medicare Facts for Jason L. Keltner, PT


National Provider Identifier [NPI]: 1144207531
Last Name Of The Provider KELTNER
First Name Of The Provider JASON
Middle Initial Of The Provider L
Credentials Of The Provider PHYSICAL THERAPIST
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 8409 S WESTERN AVE
Street Address 2 Of The Provider
City Of The Provider OKLAHOMA CITY
Zip Code Of The Provider 731399211
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 13
Number Of Services 3380
Number Of Medicare Beneficiaries 67
Total Submitted Charge Amount 131514
Total Medicare Allowed Amount 75536.64
Total Medicare Payment Amount 58060.22
Total Medicare Standardized Payment Amount 52791.95
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 13
Number Of Medical Services 3380
Number Of Medicare Beneficiaries With Medical Services 67
Total Medical Submitted Charge Amount 131514
Total Medical Medicare Allowed Amount 75536.64
Total Medical Medicare Payment Amount 58060.22
Total Medical Medicare Standardized Payment Amount 52791.95
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 36
Number Of Beneficiaries Age 75 to 84 14
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 50
Number Of Male Beneficiaries 17
Number Of Non Hispanic White Beneficiaries 53
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 55
Number Of Beneficiaries With Medicare Medicaid Entitlement 12
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 21
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0067

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