Medicare Facts for Jennifer R. Bodnar


National Provider Identifier [NPI]: 1811248362
Last Name Of The Provider BODNAR
First Name Of The Provider JENNIFER
Middle Initial Of The Provider R
Credentials Of The Provider
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1623 EMERSON CIR
Street Address 2 Of The Provider
City Of The Provider ROCHESTER HILLS
Zip Code Of The Provider 483075614
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 54
Number Of Medicare Beneficiaries 46
Total Submitted Charge Amount 11273
Total Medicare Allowed Amount 2966.47
Total Medicare Payment Amount 2325.94
Total Medicare Standardized Payment Amount 2637.02
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 54
Number Of Medicare Beneficiaries With Medical Services 46
Total Medical Submitted Charge Amount 11273
Total Medical Medicare Allowed Amount 2966.47
Total Medical Medicare Payment Amount 2325.94
Total Medical Medicare Standardized Payment Amount 2637.02
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84 16
Number Of Beneficiaries Age Greater 84 16
Number Of Female Beneficiaries 23
Number Of Male Beneficiaries 23
Number Of Non Hispanic White Beneficiaries 35
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 24
Percent Of With Alzheimers Disease or Dementia 37
Percent Of With Asthma
Percent Of With Cancer 37
Percent Of With Heart Failure 50
Percent Of With Chronic Kidney Disease 72
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 43
Percent Of With Diabetes 52
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 59
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 2.5615

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