Medicare Facts for Dr. Jason B. Widrich, MD


National Provider Identifier [NPI]: 1144214834
Last Name Of The Provider WIDRICH
First Name Of The Provider JASON
Middle Initial Of The Provider B
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3625 UNIVERSITY BLVD S
Street Address 2 Of The Provider
City Of The Provider JACKSONVILLE
Zip Code Of The Provider 322164207
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiology
Medicare Participation Indicator Y
Number Of HCPCS 72
Number Of Services 523
Number Of Medicare Beneficiaries 321
Total Submitted Charge Amount 445086.6
Total Medicare Allowed Amount 62391.65
Total Medicare Payment Amount 48413.31
Total Medicare Standardized Payment Amount 47791.49
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 72
Number Of Medical Services 523
Number Of Medicare Beneficiaries With Medical Services 321
Total Medical Submitted Charge Amount 445086.6
Total Medical Medicare Allowed Amount 62391.65
Total Medical Medicare Payment Amount 48413.31
Total Medical Medicare Standardized Payment Amount 47791.49
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 87
Number Of Beneficiaries Age 65 to 74 120
Number Of Beneficiaries Age 75 to 84 86
Number Of Beneficiaries Age Greater 84 28
Number Of Female Beneficiaries 179
Number Of Male Beneficiaries 142
Number Of Non Hispanic White Beneficiaries 243
Number Of Black or African American Beneficiaries 47
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 15
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 228
Number Of Beneficiaries With Medicare Medicaid Entitlement 93
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 18
Percent Of With Asthma 16
Percent Of With Cancer 11
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 40
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 48
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 51
Percent Of With Schizophrenia Other PsychoticDisorders 13
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 1.7523

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