Medicare Facts for Jeffrey Carson, PT


National Provider Identifier [NPI]: 1073596961
Last Name Of The Provider CARSON
First Name Of The Provider JEFFREY
Middle Initial Of The Provider
Credentials Of The Provider PT
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4500 SAN PABLO RD S
Street Address 2 Of The Provider
City Of The Provider JACKSONVILLE
Zip Code Of The Provider 322241865
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 782
Number Of Medicare Beneficiaries 93
Total Submitted Charge Amount 29766.39
Total Medicare Allowed Amount 21973.2
Total Medicare Payment Amount 16926.96
Total Medicare Standardized Payment Amount 12529.87
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 9
Number Of Medical Services 782
Number Of Medicare Beneficiaries With Medical Services 93
Total Medical Submitted Charge Amount 29766.39
Total Medical Medicare Allowed Amount 21973.2
Total Medical Medicare Payment Amount 16926.96
Total Medical Medicare Standardized Payment Amount 12529.87
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 51
Number Of Beneficiaries Age 75 to 84 29
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 48
Number Of Male Beneficiaries 45
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
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 22
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 59
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.988

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