Medicare Facts for Richard L. Sprague, LICSW


National Provider Identifier [NPI]: 1760474381
Last Name Of The Provider SPRAGUE
First Name Of The Provider RICHARD
Middle Initial Of The Provider S
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3 SHIRCLIFF WAY
Street Address 2 Of The Provider SUITE 400
City Of The Provider JACKSONVILLE
Zip Code Of The Provider 322044757
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Gastroenterology
Medicare Participation Indicator Y
Number Of HCPCS 57
Number Of Services 2480
Number Of Medicare Beneficiaries 1032
Total Submitted Charge Amount 1084999
Total Medicare Allowed Amount 326270.08
Total Medicare Payment Amount 252899.16
Total Medicare Standardized Payment Amount 251637.37
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 128
Number Of Beneficiaries Age 65 to 74 499
Number Of Beneficiaries Age 75 to 84 304
Number Of Beneficiaries Age Greater 84 101
Number Of Female Beneficiaries 599
Number Of Male Beneficiaries 433
Number Of Non Hispanic White Beneficiaries 899
Number Of Black or African American Beneficiaries 78
Number Of AsianPacific Islander Beneficiaries 14
Number Of Hispanic Beneficiaries 26
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 15
Number Of Beneficiaries With Medicare Only Entitlement 883
Number Of Beneficiaries With Medicare Medicaid Entitlement 149
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 10
Percent Of With Cancer 16
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 22
Percent Of With Depression 25
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.347

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