Medicare Facts for Christopher L. Jacobson, LISW


National Provider Identifier [NPI]: 1760447437
Last Name Of The Provider JACOBSON
First Name Of The Provider CHRISTOPHER
Middle Initial Of The Provider H
Credentials Of The Provider ARNP
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 10 JONES RD
Street Address 2 Of The Provider
City Of The Provider MILFORD
Zip Code Of The Provider 030553100
State Code Of The Provider NH
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 30
Number Of Services 371
Number Of Medicare Beneficiaries 175
Total Submitted Charge Amount 52504.01
Total Medicare Allowed Amount 22087.34
Total Medicare Payment Amount 14137.31
Total Medicare Standardized Payment Amount 16966.71
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 28
Number Of Medicare Beneficiaries With Drug Services 22
Total Drug Submitted ChargeAmount 1721.01
Total Drug Medicare AllowedAmount 985.37
Total Drug Medicare PaymentAmount 965
Total Drug Medicare Standardized Payment Amount 965
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 23
Number Of Medical Services 343
Number Of Medicare Beneficiaries With Medical Services 175
Total Medical Submitted Charge Amount 50783
Total Medical Medicare Allowed Amount 21101.97
Total Medical Medicare Payment Amount 13172.31
Total Medical Medicare Standardized Payment Amount 16001.71
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 48
Number Of Beneficiaries Age 65 to 74 71
Number Of Beneficiaries Age 75 to 84 35
Number Of Beneficiaries Age Greater 84 21
Number Of Female Beneficiaries 117
Number Of Male Beneficiaries 58
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 143
Number Of Beneficiaries With Medicare Medicaid Entitlement 32
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 7
Percent Of With Cancer 7
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 29
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 37
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 26
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.894

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