Medicare Facts for Jeanne H. Smith, MSSW


National Provider Identifier [NPI]: 1134219850
Last Name Of The Provider SMITH
First Name Of The Provider JEANNE
Middle Initial Of The Provider H
Credentials Of The Provider MSSW
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3033 NW 63RD ST
Street Address 2 Of The Provider SUITE 104E
City Of The Provider OKLAHOMA CITY
Zip Code Of The Provider 731163634
State Code Of The Provider OK
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 224
Number Of Medicare Beneficiaries 14
Total Submitted Charge Amount 26945
Total Medicare Allowed Amount 17389.96
Total Medicare Payment Amount 13241.3
Total Medicare Standardized Payment Amount 13549.59
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 224
Number Of Medicare Beneficiaries With Medical Services 14
Total Medical Submitted Charge Amount 26945
Total Medical Medicare Allowed Amount 17389.96
Total Medical Medicare Payment Amount 13241.3
Total Medical Medicare Standardized Payment Amount 13549.59
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 0
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84 0
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 14
Number Of Beneficiaries With Medicare Medicaid Entitlement 0
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
Percent Of With Depression 75
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1249

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