Medicare Facts for Mary A. Johnson, CFNP


National Provider Identifier [NPI]: 1699851634
Last Name Of The Provider JOHNSON
First Name Of The Provider MARY
Middle Initial Of The Provider A
Credentials Of The Provider CFNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1883 HIGHWAY 43 S
Street Address 2 Of The Provider SUITE E
City Of The Provider CANTON
Zip Code Of The Provider 390468405
State Code Of The Provider MS
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 16
Number Of Services 852
Number Of Medicare Beneficiaries 107
Total Submitted Charge Amount 41840
Total Medicare Allowed Amount 33969.57
Total Medicare Payment Amount 21689.62
Total Medicare Standardized Payment Amount 30608.51
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 150
Number Of Medicare Beneficiaries With Drug Services 22
Total Drug Submitted ChargeAmount 3420
Total Drug Medicare AllowedAmount 64.74
Total Drug Medicare PaymentAmount 49.36
Total Drug Medicare Standardized Payment Amount 49.36
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 12
Number Of Medical Services 702
Number Of Medicare Beneficiaries With Medical Services 107
Total Medical Submitted Charge Amount 38420
Total Medical Medicare Allowed Amount 33904.83
Total Medical Medicare Payment Amount 21640.26
Total Medical Medicare Standardized Payment Amount 30559.15
Average Age Of Beneficiaries 58
Number Of Beneficiaries Age Less65 66
Number Of Beneficiaries Age 65 to 74 28
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 79
Number Of Male Beneficiaries 28
Number Of Non Hispanic White Beneficiaries
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 26
Number Of Beneficiaries With Medicare Medicaid Entitlement 81
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 11
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 21
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 20
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 10
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.906

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