Medicare Facts for Jeffrey D. Johnson


National Provider Identifier [NPI]: 1447323886
Last Name Of The Provider JOHNSON
First Name Of The Provider JEFFREY
Middle Initial Of The Provider D
Credentials Of The Provider DPM MS
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2052 SPRUCE CREEK LN
Street Address 2 Of The Provider
City Of The Provider SOUTH JORDAN
Zip Code Of The Provider 840952408
State Code Of The Provider UT
Country Code Of The Provider US
Provider Type Of The Provider Podiatry
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 2815
Number Of Medicare Beneficiaries 673
Total Submitted Charge Amount 200535
Total Medicare Allowed Amount 194820.06
Total Medicare Payment Amount 138721.12
Total Medicare Standardized Payment Amount 143066.92
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 11
Number Of Medical Services 2815
Number Of Medicare Beneficiaries With Medical Services 673
Total Medical Submitted Charge Amount 200535
Total Medical Medicare Allowed Amount 194820.06
Total Medical Medicare Payment Amount 138721.12
Total Medical Medicare Standardized Payment Amount 143066.92
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 124
Number Of Beneficiaries Age 65 to 74 149
Number Of Beneficiaries Age 75 to 84 182
Number Of Beneficiaries Age Greater 84 218
Number Of Female Beneficiaries 392
Number Of Male Beneficiaries 281
Number Of Non Hispanic White Beneficiaries 584
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 21
Number Of Hispanic Beneficiaries 39
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 14
Number Of Beneficiaries With Medicare Only Entitlement 167
Number Of Beneficiaries With Medicare Medicaid Entitlement 506
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 65
Percent Of With Asthma 9
Percent Of With Cancer 5
Percent Of With Heart Failure 33
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 46
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 29
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 26
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 2.217

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