Medicare Facts for Jessica L. Carver


National Provider Identifier [NPI]: 1841562576
Last Name Of The Provider CARVER
First Name Of The Provider JESSICA
Middle Initial Of The Provider L
Credentials Of The Provider
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 105 W STONE DR
Street Address 2 Of The Provider STE 1D
City Of The Provider KINGSPORT
Zip Code Of The Provider 376603365
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Occupational therapist
Medicare Participation Indicator Y
Number Of HCPCS 16
Number Of Services 1912
Number Of Medicare Beneficiaries 76
Total Submitted Charge Amount 150291
Total Medicare Allowed Amount 48459.68
Total Medicare Payment Amount 36836.18
Total Medicare Standardized Payment Amount 29255.89
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 16
Number Of Medical Services 1912
Number Of Medicare Beneficiaries With Medical Services 76
Total Medical Submitted Charge Amount 150291
Total Medical Medicare Allowed Amount 48459.68
Total Medical Medicare Payment Amount 36836.18
Total Medical Medicare Standardized Payment Amount 29255.89
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 51
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 48
Number Of Male Beneficiaries 28
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 63
Number Of Beneficiaries With Medicare Medicaid Entitlement 13
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 20
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 28
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 54
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8952

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