Medicare Facts for Jennifer R. Fairbanks


National Provider Identifier [NPI]: 1386081065
Last Name Of The Provider FAIRBANKS
First Name Of The Provider JENNIFER
Middle Initial Of The Provider L
Credentials Of The Provider O.D
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1801 19TH AVE SW
Street Address 2 Of The Provider
City Of The Provider WILLMAR
Zip Code Of The Provider 56201
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 16
Number Of Services 418
Number Of Medicare Beneficiaries 218
Total Submitted Charge Amount 37023.2
Total Medicare Allowed Amount 32219.54
Total Medicare Payment Amount 20183.31
Total Medicare Standardized Payment Amount 20494.28
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 16
Number Of Medical Services 418
Number Of Medicare Beneficiaries With Medical Services 218
Total Medical Submitted Charge Amount 37023.2
Total Medical Medicare Allowed Amount 32219.54
Total Medical Medicare Payment Amount 20183.31
Total Medical Medicare Standardized Payment Amount 20494.28
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 41
Number Of Beneficiaries Age 65 to 74 67
Number Of Beneficiaries Age 75 to 84 65
Number Of Beneficiaries Age Greater 84 45
Number Of Female Beneficiaries 133
Number Of Male Beneficiaries 85
Number Of Non Hispanic White Beneficiaries 201
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 163
Number Of Beneficiaries With Medicare Medicaid Entitlement 55
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 18
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 34
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.036

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