Medicare Facts for Christina D. Smith, STNA


National Provider Identifier [NPI]: 1497987309
Last Name Of The Provider SMITH
First Name Of The Provider CHRISTINA
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3535 SOUTHERN BLVD
Street Address 2 Of The Provider EMERGENCY DEPARTMENT
City Of The Provider KETTERING
Zip Code Of The Provider 454291221
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 796
Number Of Medicare Beneficiaries 712
Total Submitted Charge Amount 474086
Total Medicare Allowed Amount 115446.77
Total Medicare Payment Amount 85285.96
Total Medicare Standardized Payment Amount 86246.46
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 796
Number Of Medicare Beneficiaries With Medical Services 712
Total Medical Submitted Charge Amount 474086
Total Medical Medicare Allowed Amount 115446.77
Total Medical Medicare Payment Amount 85285.96
Total Medical Medicare Standardized Payment Amount 86246.46
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 194
Number Of Beneficiaries Age 65 to 74 209
Number Of Beneficiaries Age 75 to 84 175
Number Of Beneficiaries Age Greater 84 134
Number Of Female Beneficiaries 422
Number Of Male Beneficiaries 290
Number Of Non Hispanic White Beneficiaries 652
Number Of Black or African American Beneficiaries 38
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 475
Number Of Beneficiaries With Medicare Medicaid Entitlement 237
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 22
Percent Of With Asthma 17
Percent Of With Cancer 12
Percent Of With Heart Failure 36
Percent Of With Chronic Kidney Disease 41
Percent Of With Chronic Obstructive Pulmonary Disease 34
Percent Of With Depression 45
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 48
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 12
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 2.0194

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