Medicare Facts for Nicole R. Johnson, MS


National Provider Identifier [NPI]: 1174946503
Last Name Of The Provider JOHNSON
First Name Of The Provider NICOLE
Middle Initial Of The Provider
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1401 FOUCHER ST
Street Address 2 Of The Provider
City Of The Provider NEW ORLEANS
Zip Code Of The Provider 701153515
State Code Of The Provider LA
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 28
Number Of Services 63
Number Of Medicare Beneficiaries 62
Total Submitted Charge Amount 105159.6
Total Medicare Allowed Amount 9938.75
Total Medicare Payment Amount 7791.98
Total Medicare Standardized Payment Amount 7717.17
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 28
Number Of Medical Services 63
Number Of Medicare Beneficiaries With Medical Services 62
Total Medical Submitted Charge Amount 105159.6
Total Medical Medicare Allowed Amount 9938.75
Total Medical Medicare Payment Amount 7791.98
Total Medical Medicare Standardized Payment Amount 7717.17
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 26
Number Of Beneficiaries Age 75 to 84 16
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 32
Number Of Male Beneficiaries 30
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 31
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 34
Number Of Beneficiaries With Medicare Medicaid Entitlement 28
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 19
Percent Of With Heart Failure 44
Percent Of With Chronic Kidney Disease 50
Percent Of With Chronic Obstructive Pulmonary Disease 24
Percent Of With Depression 34
Percent Of With Diabetes 47
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 52
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 2.4893

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