Medicare Facts for Krystal M. Allen


National Provider Identifier [NPI]: 1659580702
Last Name Of The Provider ALLEN
First Name Of The Provider KRYSTAL
Middle Initial Of The Provider S
Credentials Of The Provider D.C.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2000 W KETTLEMAN LN STE 104
Street Address 2 Of The Provider
City Of The Provider LODI
Zip Code Of The Provider 952424334
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Chiropractic
Medicare Participation Indicator Y
Number Of HCPCS 1
Number Of Services 207
Number Of Medicare Beneficiaries 27
Total Submitted Charge Amount 8280
Total Medicare Allowed Amount 6061.98
Total Medicare Payment Amount 4484.89
Total Medicare Standardized Payment Amount 4331.91
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 1
Number Of Medical Services 207
Number Of Medicare Beneficiaries With Medical Services 27
Total Medical Submitted Charge Amount 8280
Total Medical Medicare Allowed Amount 6061.98
Total Medical Medicare Payment Amount 4484.89
Total Medical Medicare Standardized Payment Amount 4331.91
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 15
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 16
Number Of Male Beneficiaries 11
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 0
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
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 48
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7591

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