Medicare Facts for Kristen R. Jessee-Breeding, PA-C


National Provider Identifier [NPI]: 1720006000
Last Name Of The Provider JESSEE-BREEDING
First Name Of The Provider KRISTEN
Middle Initial Of The Provider R
Credentials Of The Provider PAC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 16431 WISE ST.
Street Address 2 Of The Provider
City Of The Provider ST. PAUL
Zip Code Of The Provider 242830000
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 22
Number Of Services 278
Number Of Medicare Beneficiaries 203
Total Submitted Charge Amount 194205
Total Medicare Allowed Amount 24699.47
Total Medicare Payment Amount 19052.47
Total Medicare Standardized Payment Amount 22888.67
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 22
Number Of Medical Services 278
Number Of Medicare Beneficiaries With Medical Services 203
Total Medical Submitted Charge Amount 194205
Total Medical Medicare Allowed Amount 24699.47
Total Medical Medicare Payment Amount 19052.47
Total Medical Medicare Standardized Payment Amount 22888.67
Average Age Of Beneficiaries 59
Number Of Beneficiaries Age Less65 120
Number Of Beneficiaries Age 65 to 74 49
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 104
Number Of Male Beneficiaries 99
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 80
Number Of Beneficiaries With Medicare Medicaid Entitlement 123
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 12
Percent Of With Cancer 6
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 34
Percent Of With Depression 45
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 52
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.4347

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