Medicare Facts for Jan M. Kennedy, CRNP


National Provider Identifier [NPI]: 1730139098
Last Name Of The Provider KENNEDY
First Name Of The Provider JAN
Middle Initial Of The Provider M
Credentials Of The Provider CRNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1813 BELTLINE RD SW
Street Address 2 Of The Provider
City Of The Provider DECATUR
Zip Code Of The Provider 356015506
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 31
Number Of Services 383
Number Of Medicare Beneficiaries 156
Total Submitted Charge Amount 22458
Total Medicare Allowed Amount 14450.04
Total Medicare Payment Amount 8974.6
Total Medicare Standardized Payment Amount 12027.14
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 122
Number Of Medicare Beneficiaries With Drug Services 35
Total Drug Submitted ChargeAmount 996
Total Drug Medicare AllowedAmount 437.99
Total Drug Medicare PaymentAmount 260.98
Total Drug Medicare Standardized Payment Amount 260.98
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 261
Number Of Medicare Beneficiaries With Medical Services 156
Total Medical Submitted Charge Amount 21462
Total Medical Medicare Allowed Amount 14012.05
Total Medical Medicare Payment Amount 8713.62
Total Medical Medicare Standardized Payment Amount 11766.16
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 35
Number Of Beneficiaries Age 65 to 74 77
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 102
Number Of Male Beneficiaries 54
Number Of Non Hispanic White Beneficiaries 137
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 131
Number Of Beneficiaries With Medicare Medicaid Entitlement 25
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 7
Percent Of With Cancer 8
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 21
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7467

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