National Provider Identifier [NPI]: |
1023026663 |
Last Name Of The Provider |
JARRETT |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 S 48TH ST |
Street Address 2 Of The Provider |
SUITE 800 |
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685061276 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
4099 |
Number Of Medicare Beneficiaries |
1011 |
Total Submitted Charge Amount |
378495.73 |
Total Medicare Allowed Amount |
348236.42 |
Total Medicare Payment Amount |
261776.76 |
Total Medicare Standardized Payment Amount |
287540.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
680.78 |
Total Drug Medicare AllowedAmount |
621.66 |
Total Drug Medicare PaymentAmount |
566.1 |
Total Drug Medicare Standardized Payment Amount |
566.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
4038 |
Number Of Medicare Beneficiaries With Medical Services |
1011 |
Total Medical Submitted Charge Amount |
377814.95 |
Total Medical Medicare Allowed Amount |
347614.76 |
Total Medical Medicare Payment Amount |
261210.66 |
Total Medical Medicare Standardized Payment Amount |
286974.57 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
360 |
Number Of Beneficiaries Age 75 to 84 |
364 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
550 |
Number Of Male Beneficiaries |
461 |
Number Of Non Hispanic White Beneficiaries |
959 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
802 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
57 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8825 |