Medicare Facts for Jeffrey J. Roberts, MS


National Provider Identifier [NPI]: 1225145915
Last Name Of The Provider ROBERTS
First Name Of The Provider JEFFREY
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 400 N PEPPER AVE
Street Address 2 Of The Provider DEPT. SURGERY MODULAR # 3
City Of The Provider COLTON
Zip Code Of The Provider 923241801
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Otolaryngology
Medicare Participation Indicator Y
Number Of HCPCS 34
Number Of Services 162
Number Of Medicare Beneficiaries 80
Total Submitted Charge Amount 70155
Total Medicare Allowed Amount 22114.67
Total Medicare Payment Amount 16605.47
Total Medicare Standardized Payment Amount 15984.07
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 34
Number Of Medical Services 162
Number Of Medicare Beneficiaries With Medical Services 80
Total Medical Submitted Charge Amount 70155
Total Medical Medicare Allowed Amount 22114.67
Total Medical Medicare Payment Amount 16605.47
Total Medical Medicare Standardized Payment Amount 15984.07
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 31
Number Of Beneficiaries Age 75 to 84 13
Number Of Beneficiaries Age Greater 84 12
Number Of Female Beneficiaries 42
Number Of Male Beneficiaries 38
Number Of Non Hispanic White Beneficiaries 27
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 42
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 13
Number Of Beneficiaries With Medicare Medicaid Entitlement 67
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 20
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 20
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 30
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 15
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2352

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