Medicare Facts for Jessica M. Rodrigues, RD


National Provider Identifier [NPI]: 1598749137
Last Name Of The Provider RODRIGUES
First Name Of The Provider JESSICA
Middle Initial Of The Provider L
Credentials Of The Provider PA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 354 BIRNIE AVE
Street Address 2 Of The Provider STE 202
City Of The Provider SPRINGFIELD
Zip Code Of The Provider 011071108
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 6
Number Of Services 265
Number Of Medicare Beneficiaries 171
Total Submitted Charge Amount 42796
Total Medicare Allowed Amount 19165.01
Total Medicare Payment Amount 11705.52
Total Medicare Standardized Payment Amount 13970.42
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 6
Number Of Medical Services 265
Number Of Medicare Beneficiaries With Medical Services 171
Total Medical Submitted Charge Amount 42796
Total Medical Medicare Allowed Amount 19165.01
Total Medical Medicare Payment Amount 11705.52
Total Medical Medicare Standardized Payment Amount 13970.42
Average Age Of Beneficiaries 85
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84 33
Number Of Beneficiaries Age Greater 84 110
Number Of Female Beneficiaries 131
Number Of Male Beneficiaries 40
Number Of Non Hispanic White Beneficiaries 142
Number Of Black or African American Beneficiaries 18
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 28
Number Of Beneficiaries With Medicare Medicaid Entitlement 143
Percent Of With Atrial Fibrillation 26
Percent Of With Alzheimers Disease or Dementia 75
Percent Of With Asthma
Percent Of With Cancer 11
Percent Of With Heart Failure 42
Percent Of With Chronic Kidney Disease 50
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 36
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 38
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 49
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 49
Percent Of With Schizophrenia Other PsychoticDisorders 15
Percent Of With Stroke 15
Average HCC Risk Score Of Beneficiaries 2.2779

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