Medicare Facts for Jonathan P. Bushman


National Provider Identifier [NPI]: 1508182619
Last Name Of The Provider BUSHMAN
First Name Of The Provider JONATHAN
Middle Initial Of The Provider K
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 915 E GARRIOTT RD
Street Address 2 Of The Provider SUITE A
City Of The Provider ENID
Zip Code Of The Provider 737016156
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 52
Number Of Services 1654
Number Of Medicare Beneficiaries 284
Total Submitted Charge Amount 180656.11
Total Medicare Allowed Amount 94135.15
Total Medicare Payment Amount 66664.13
Total Medicare Standardized Payment Amount 73880.14
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 13
Number Of Drug Services 277
Number Of Medicare Beneficiaries With Drug Services 86
Total Drug Submitted ChargeAmount 8386.11
Total Drug Medicare AllowedAmount 5018.21
Total Drug Medicare PaymentAmount 4653.66
Total Drug Medicare Standardized Payment Amount 4653.66
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 39
Number Of Medical Services 1377
Number Of Medicare Beneficiaries With Medical Services 284
Total Medical Submitted Charge Amount 172270
Total Medical Medicare Allowed Amount 89116.94
Total Medical Medicare Payment Amount 62010.47
Total Medical Medicare Standardized Payment Amount 69226.48
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 64
Number Of Beneficiaries Age 65 to 74 125
Number Of Beneficiaries Age 75 to 84 72
Number Of Beneficiaries Age Greater 84 23
Number Of Female Beneficiaries 152
Number Of Male Beneficiaries 132
Number Of Non Hispanic White Beneficiaries 258
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 212
Number Of Beneficiaries With Medicare Medicaid Entitlement 72
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 6
Percent Of With Cancer 11
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 24
Percent Of With Depression 24
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.0396

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