National Provider Identifier [NPI]: |
1386954709 |
Last Name Of The Provider |
METZGER |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
PHYSICIAN ASSISTANT |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4100 LAKE OTIS PKWY |
Street Address 2 Of The Provider |
SUITE #308 |
City Of The Provider |
ANCHORAGE |
Zip Code Of The Provider |
99508 |
State Code Of The Provider |
AK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
457 |
Number Of Medicare Beneficiaries |
109 |
Total Submitted Charge Amount |
154379.96 |
Total Medicare Allowed Amount |
27519.06 |
Total Medicare Payment Amount |
19533.47 |
Total Medicare Standardized Payment Amount |
18340.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
107 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
11585 |
Total Drug Medicare AllowedAmount |
7277.1 |
Total Drug Medicare PaymentAmount |
5381.16 |
Total Drug Medicare Standardized Payment Amount |
5381.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
350 |
Number Of Medicare Beneficiaries With Medical Services |
109 |
Total Medical Submitted Charge Amount |
142794.96 |
Total Medical Medicare Allowed Amount |
20241.96 |
Total Medical Medicare Payment Amount |
14152.31 |
Total Medical Medicare Standardized Payment Amount |
12958.98 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
62 |
Number Of Beneficiaries Age 75 to 84 |
24 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
64 |
Number Of Male Beneficiaries |
45 |
Number Of Non Hispanic White Beneficiaries |
91 |
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 |
93 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
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 |
11 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
18 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.729 |