Medicare Facts for John R. Kenner, MSW


National Provider Identifier [NPI]: 1417058462
Last Name Of The Provider KENNER
First Name Of The Provider JOHN
Middle Initial Of The Provider R
Credentials Of The Provider MSW
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 42189 ANN ARBOR RD E
Street Address 2 Of The Provider
City Of The Provider PLYMOUTH
Zip Code Of The Provider 481704370
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 7
Number Of Services 148
Number Of Medicare Beneficiaries 20
Total Submitted Charge Amount 29720
Total Medicare Allowed Amount 12611.76
Total Medicare Payment Amount 9273.57
Total Medicare Standardized Payment Amount 9113.28
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 7
Number Of Medical Services 148
Number Of Medicare Beneficiaries With Medical Services 20
Total Medical Submitted Charge Amount 29720
Total Medical Medicare Allowed Amount 12611.76
Total Medical Medicare Payment Amount 9273.57
Total Medical Medicare Standardized Payment Amount 9113.28
Average Age Of Beneficiaries 55
Number Of Beneficiaries Age Less65
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
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 0
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 65
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
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.9815

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