Medicare Facts for Jennifer A. Gros, PA


National Provider Identifier [NPI]: 1558466219
Last Name Of The Provider GROS
First Name Of The Provider JENNIFER
Middle Initial Of The Provider A
Credentials Of The Provider PA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 333 N PRAIRIE AVE
Street Address 2 Of The Provider
City Of The Provider INGLEWOOD
Zip Code Of The Provider 903014501
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 24
Number Of Services 186
Number Of Medicare Beneficiaries 144
Total Submitted Charge Amount 73748
Total Medicare Allowed Amount 13818.12
Total Medicare Payment Amount 10191.57
Total Medicare Standardized Payment Amount 11588.71
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 24
Number Of Medical Services 186
Number Of Medicare Beneficiaries With Medical Services 144
Total Medical Submitted Charge Amount 73748
Total Medical Medicare Allowed Amount 13818.12
Total Medical Medicare Payment Amount 10191.57
Total Medical Medicare Standardized Payment Amount 11588.71
Average Age Of Beneficiaries 63
Number Of Beneficiaries Age Less65 66
Number Of Beneficiaries Age 65 to 74 48
Number Of Beneficiaries Age 75 to 84 16
Number Of Beneficiaries Age Greater 84 14
Number Of Female Beneficiaries 77
Number Of Male Beneficiaries 67
Number Of Non Hispanic White Beneficiaries 82
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 14
Number Of Hispanic Beneficiaries 33
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 46
Number Of Beneficiaries With Medicare Medicaid Entitlement 98
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 17
Percent Of With Cancer 8
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 42
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 47
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders 19
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.6144

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