Medicare Facts for Dr. Jennifer G. Jetton, MD


National Provider Identifier [NPI]: 1588985261
Last Name Of The Provider JETTON
First Name Of The Provider JENNIFER
Middle Initial Of The Provider G
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 HAWKINS DR
Street Address 2 Of The Provider DEPT. OF PEDIATRICS
City Of The Provider IOWA CITY
Zip Code Of The Provider 522421007
State Code Of The Provider IA
Country Code Of The Provider US
Provider Type Of The Provider Nephrology
Medicare Participation Indicator Y
Number Of HCPCS 13
Number Of Services 98
Number Of Medicare Beneficiaries 12
Total Submitted Charge Amount 40746
Total Medicare Allowed Amount 8420.27
Total Medicare Payment Amount 5985.79
Total Medicare Standardized Payment Amount 6376.13
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 13
Number Of Medical Services 98
Number Of Medicare Beneficiaries With Medical Services 12
Total Medical Submitted Charge Amount 40746
Total Medical Medicare Allowed Amount 8420.27
Total Medical Medicare Payment Amount 5985.79
Total Medical Medicare Standardized Payment Amount 6376.13
Average Age Of Beneficiaries 11
Number Of Beneficiaries Age Less65 12
Number Of Beneficiaries Age 65 to 74 0
Number Of Beneficiaries Age 75 to 84 0
Number Of Beneficiaries Age Greater 84 0
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia 0
Percent Of With Asthma
Percent Of With Cancer 0
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 0
Percent Of With Depression 0
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease 0
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 0
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 3.8338

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