Medicare Facts for Jean M. Miller


National Provider Identifier [NPI]: 1477589208
Last Name Of The Provider MILLER
First Name Of The Provider JEAN
Middle Initial Of The Provider
Credentials Of The Provider LCSW, LMFT
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 330 LAKEVIEW DR
Street Address 2 Of The Provider
City Of The Provider GOSHEN
Zip Code Of The Provider 465289365
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 6
Number Of Services 457
Number Of Medicare Beneficiaries 47
Total Submitted Charge Amount 21562
Total Medicare Allowed Amount 21373.93
Total Medicare Payment Amount 16265.98
Total Medicare Standardized Payment Amount 17587.48
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 6
Number Of Medical Services 457
Number Of Medicare Beneficiaries With Medical Services 47
Total Medical Submitted Charge Amount 21562
Total Medical Medicare Allowed Amount 21373.93
Total Medical Medicare Payment Amount 16265.98
Total Medical Medicare Standardized Payment Amount 17587.48
Average Age Of Beneficiaries 55
Number Of Beneficiaries Age Less65 33
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
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 16
Number Of Beneficiaries With Medicare Medicaid Entitlement 31
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
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 75
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 36
Percent Of With Hypertension 53
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders 23
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3965

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