Medicare Facts for Dr. John C. Sheffield, MD


National Provider Identifier [NPI]: 1801811351
Last Name Of The Provider SHEFFIELD
First Name Of The Provider JOHN
Middle Initial Of The Provider C
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 30 N 4TH ST
Street Address 2 Of The Provider 2ND FLOOR
City Of The Provider LEBANON
Zip Code Of The Provider 170465606
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 415
Number Of Medicare Beneficiaries 122
Total Submitted Charge Amount 36765
Total Medicare Allowed Amount 24841.48
Total Medicare Payment Amount 18655.54
Total Medicare Standardized Payment Amount 19586.6
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 43
Number Of Medicare Beneficiaries With Drug Services 41
Total Drug Submitted ChargeAmount 2762
Total Drug Medicare AllowedAmount 1361.23
Total Drug Medicare PaymentAmount 1333.84
Total Drug Medicare Standardized Payment Amount 1333.84
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 31
Number Of Medical Services 372
Number Of Medicare Beneficiaries With Medical Services 122
Total Medical Submitted Charge Amount 34003
Total Medical Medicare Allowed Amount 23480.25
Total Medical Medicare Payment Amount 17321.7
Total Medical Medicare Standardized Payment Amount 18252.76
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 42
Number Of Beneficiaries Age 65 to 74 42
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 69
Number Of Male Beneficiaries 53
Number Of Non Hispanic White Beneficiaries 75
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 70
Number Of Beneficiaries With Medicare Medicaid Entitlement 52
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 10
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 22
Percent Of With Depression 21
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3925

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