Medicare Facts for Jill O'Brien, MS


National Provider Identifier [NPI]: 1881896629
Last Name Of The Provider O'BRIEN
First Name Of The Provider JILL
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 164 SUMMIT AVE
Street Address 2 Of The Provider
City Of The Provider PROVIDENCE
Zip Code Of The Provider 029062853
State Code Of The Provider RI
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 448
Number Of Medicare Beneficiaries 227
Total Submitted Charge Amount 72389
Total Medicare Allowed Amount 46640.73
Total Medicare Payment Amount 36328.53
Total Medicare Standardized Payment Amount 35467.07
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 9
Number Of Medical Services 448
Number Of Medicare Beneficiaries With Medical Services 227
Total Medical Submitted Charge Amount 72389
Total Medical Medicare Allowed Amount 46640.73
Total Medical Medicare Payment Amount 36328.53
Total Medical Medicare Standardized Payment Amount 35467.07
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 35
Number Of Beneficiaries Age 65 to 74 46
Number Of Beneficiaries Age 75 to 84 71
Number Of Beneficiaries Age Greater 84 75
Number Of Female Beneficiaries 139
Number Of Male Beneficiaries 88
Number Of Non Hispanic White Beneficiaries 190
Number Of Black or African American Beneficiaries 18
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 142
Number Of Beneficiaries With Medicare Medicaid Entitlement 85
Percent Of With Atrial Fibrillation 31
Percent Of With Alzheimers Disease or Dementia 35
Percent Of With Asthma 22
Percent Of With Cancer 18
Percent Of With Heart Failure 51
Percent Of With Chronic Kidney Disease 63
Percent Of With Chronic Obstructive Pulmonary Disease 32
Percent Of With Depression 50
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 66
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 12
Percent Of With Stroke 15
Average HCC Risk Score Of Beneficiaries 2.7698

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