Medicare Facts for Jaime Johnson


National Provider Identifier [NPI]: 1851677090
Last Name Of The Provider JOHNSON
First Name Of The Provider JAIME
Middle Initial Of The Provider
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2823 FRESNO ST
Street Address 2 Of The Provider
City Of The Provider FRESNO
Zip Code Of The Provider 937211324
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 44
Number Of Services 222
Number Of Medicare Beneficiaries 207
Total Submitted Charge Amount 204663
Total Medicare Allowed Amount 49556.87
Total Medicare Payment Amount 38635.75
Total Medicare Standardized Payment Amount 38948.32
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 44
Number Of Medical Services 222
Number Of Medicare Beneficiaries With Medical Services 207
Total Medical Submitted Charge Amount 204663
Total Medical Medicare Allowed Amount 49556.87
Total Medical Medicare Payment Amount 38635.75
Total Medical Medicare Standardized Payment Amount 38948.32
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 43
Number Of Beneficiaries Age 65 to 74 77
Number Of Beneficiaries Age 75 to 84 55
Number Of Beneficiaries Age Greater 84 32
Number Of Female Beneficiaries 113
Number Of Male Beneficiaries 94
Number Of Non Hispanic White Beneficiaries 137
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 47
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 97
Number Of Beneficiaries With Medicare Medicaid Entitlement 110
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 12
Percent Of With Cancer 17
Percent Of With Heart Failure 37
Percent Of With Chronic Kidney Disease 42
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 20
Percent Of With Diabetes 51
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 52
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.908

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