Medicare Facts for Elizabeth J. Jacobsen, PA-C


National Provider Identifier [NPI]: 1154408631
Last Name Of The Provider JACOBSEN
First Name Of The Provider ELIZABETH
Middle Initial Of The Provider J
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1807 N HUTCHINSON RD
Street Address 2 Of The Provider
City Of The Provider SPOKANE VALLEY
Zip Code Of The Provider 992122444
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 34
Number Of Services 2253
Number Of Medicare Beneficiaries 557
Total Submitted Charge Amount 207659.2
Total Medicare Allowed Amount 88953.91
Total Medicare Payment Amount 62335.62
Total Medicare Standardized Payment Amount 74428.48
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 82
Number Of Medicare Beneficiaries With Drug Services 18
Total Drug Submitted ChargeAmount 928.2
Total Drug Medicare AllowedAmount 789.01
Total Drug Medicare PaymentAmount 613.02
Total Drug Medicare Standardized Payment Amount 613.02
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 32
Number Of Medical Services 2171
Number Of Medicare Beneficiaries With Medical Services 557
Total Medical Submitted Charge Amount 206731
Total Medical Medicare Allowed Amount 88164.9
Total Medical Medicare Payment Amount 61722.6
Total Medical Medicare Standardized Payment Amount 73815.46
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 278
Number Of Beneficiaries Age 75 to 84 187
Number Of Beneficiaries Age Greater 84 66
Number Of Female Beneficiaries 365
Number Of Male Beneficiaries 192
Number Of Non Hispanic White Beneficiaries 543
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 522
Number Of Beneficiaries With Medicare Medicaid Entitlement 35
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 5
Percent Of With Cancer 10
Percent Of With Heart Failure 8
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 13
Percent Of With Diabetes 15
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 51
Percent Of With Ischemic Heart Disease 19
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.8579

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