Medicare Facts for Jessica L. Poe, CRNA


National Provider Identifier [NPI]: 1033395504
Last Name Of The Provider POE
First Name Of The Provider JESSICA
Middle Initial Of The Provider L
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1200 E PECAN ST
Street Address 2 Of The Provider
City Of The Provider ALTUS
Zip Code Of The Provider 735216141
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 48
Number Of Services 301
Number Of Medicare Beneficiaries 277
Total Submitted Charge Amount 330534.83
Total Medicare Allowed Amount 57390.95
Total Medicare Payment Amount 43974.8
Total Medicare Standardized Payment Amount 46205.67
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 48
Number Of Medical Services 301
Number Of Medicare Beneficiaries With Medical Services 277
Total Medical Submitted Charge Amount 330534.83
Total Medical Medicare Allowed Amount 57390.95
Total Medical Medicare Payment Amount 43974.8
Total Medical Medicare Standardized Payment Amount 46205.67
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 43
Number Of Beneficiaries Age 65 to 74 118
Number Of Beneficiaries Age 75 to 84 82
Number Of Beneficiaries Age Greater 84 34
Number Of Female Beneficiaries 151
Number Of Male Beneficiaries 126
Number Of Non Hispanic White Beneficiaries 233
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 20
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 206
Number Of Beneficiaries With Medicare Medicaid Entitlement 71
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 8
Percent Of With Cancer 22
Percent Of With Heart Failure 29
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 33
Percent Of With Depression 25
Percent Of With Diabetes 43
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 59
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.357

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