Medicare Facts for Susan A. Roberts, LCSW


National Provider Identifier [NPI]: 1689711384
Last Name Of The Provider ROBERTS
First Name Of The Provider SUSAN
Middle Initial Of The Provider L
Credentials Of The Provider
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 319 CENTRAL AVE
Street Address 2 Of The Provider
City Of The Provider DUNKIRK
Zip Code Of The Provider 140482137
State Code Of The Provider NY
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 111
Number Of Medicare Beneficiaries 21
Total Submitted Charge Amount 19372.4
Total Medicare Allowed Amount 7343.74
Total Medicare Payment Amount 4956.98
Total Medicare Standardized Payment Amount 5174.56
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 4
Number Of Medical Services 111
Number Of Medicare Beneficiaries With Medical Services 21
Total Medical Submitted Charge Amount 19372.4
Total Medical Medicare Allowed Amount 7343.74
Total Medical Medicare Payment Amount 4956.98
Total Medical Medicare Standardized Payment Amount 5174.56
Average Age Of Beneficiaries 43
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
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 0
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 62
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0603

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