Medicare Facts for Jack R. Saunders, MPAS


National Provider Identifier [NPI]: 1801175807
Last Name Of The Provider SAUNDERS
First Name Of The Provider JACK
Middle Initial Of The Provider R
Credentials Of The Provider MPAS, PA-C
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 220 MILLPOND
Street Address 2 Of The Provider
City Of The Provider STANSBURY PARK
Zip Code Of The Provider 840749745
State Code Of The Provider UT
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 32
Number Of Services 538
Number Of Medicare Beneficiaries 128
Total Submitted Charge Amount 54871
Total Medicare Allowed Amount 24477.27
Total Medicare Payment Amount 18522.45
Total Medicare Standardized Payment Amount 21926.92
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 25
Number Of Medicare Beneficiaries With Drug Services 12
Total Drug Submitted ChargeAmount 2794
Total Drug Medicare AllowedAmount 2242.94
Total Drug Medicare PaymentAmount 1758.46
Total Drug Medicare Standardized Payment Amount 1758.46
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 30
Number Of Medical Services 513
Number Of Medicare Beneficiaries With Medical Services 128
Total Medical Submitted Charge Amount 52077
Total Medical Medicare Allowed Amount 22234.33
Total Medical Medicare Payment Amount 16763.99
Total Medical Medicare Standardized Payment Amount 20168.46
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 17
Number Of Beneficiaries Age 65 to 74 60
Number Of Beneficiaries Age 75 to 84 40
Number Of Beneficiaries Age Greater 84 11
Number Of Female Beneficiaries 71
Number Of Male Beneficiaries 57
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 115
Number Of Beneficiaries With Medicare Medicaid Entitlement 13
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 19
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 30
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease 18
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.969

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