Medicare Facts for Mae D. Johnson, FNP


National Provider Identifier [NPI]: 1912905464
Last Name Of The Provider JOHNSON
First Name Of The Provider MAE
Middle Initial Of The Provider D
Credentials Of The Provider FNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1107 MEMORIAL DR
Street Address 2 Of The Provider SUITE 300
City Of The Provider DALTON
Zip Code Of The Provider 307208662
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 77
Number Of Services 7993
Number Of Medicare Beneficiaries 461
Total Submitted Charge Amount 303742
Total Medicare Allowed Amount 151035.51
Total Medicare Payment Amount 109347.99
Total Medicare Standardized Payment Amount 129183.41
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 13
Number Of Drug Services 2924
Number Of Medicare Beneficiaries With Drug Services 186
Total Drug Submitted ChargeAmount 65238
Total Drug Medicare AllowedAmount 23857.27
Total Drug Medicare PaymentAmount 17743.73
Total Drug Medicare Standardized Payment Amount 17743.73
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 64
Number Of Medical Services 5069
Number Of Medicare Beneficiaries With Medical Services 461
Total Medical Submitted Charge Amount 238504
Total Medical Medicare Allowed Amount 127178.24
Total Medical Medicare Payment Amount 91604.26
Total Medical Medicare Standardized Payment Amount 111439.68
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 190
Number Of Beneficiaries Age 75 to 84 177
Number Of Beneficiaries Age Greater 84 71
Number Of Female Beneficiaries 355
Number Of Male Beneficiaries 106
Number Of Non Hispanic White Beneficiaries 450
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 411
Number Of Beneficiaries With Medicare Medicaid Entitlement 50
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 3
Percent Of With Cancer 6
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 8
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 8
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 26
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.8347

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