Medicare Facts for Shelley D. Johnston, RPT


National Provider Identifier [NPI]: 1578513917
Last Name Of The Provider JOHNSTON
First Name Of The Provider SHELLEY
Middle Initial Of The Provider D
Credentials Of The Provider RPT
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 301 4TH ST
Street Address 2 Of The Provider
City Of The Provider LA GRANDE
Zip Code Of The Provider 978501901
State Code Of The Provider OR
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 4094
Number Of Medicare Beneficiaries 105
Total Submitted Charge Amount 203894.04
Total Medicare Allowed Amount 104965.94
Total Medicare Payment Amount 80640.38
Total Medicare Standardized Payment Amount 63059.81
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 21
Number Of Medical Services 4094
Number Of Medicare Beneficiaries With Medical Services 105
Total Medical Submitted Charge Amount 203894.04
Total Medical Medicare Allowed Amount 104965.94
Total Medical Medicare Payment Amount 80640.38
Total Medical Medicare Standardized Payment Amount 63059.81
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 53
Number Of Beneficiaries Age 75 to 84 36
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 66
Number Of Male Beneficiaries 39
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 11
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 11
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 27
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 70
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9669

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