Medicare Facts for Dr. Jeramy D. Mosburg, DO


National Provider Identifier [NPI]: 1417108291
Last Name Of The Provider MOSBURG
First Name Of The Provider JERAMY
Middle Initial Of The Provider D
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1951 N WILMOT RD
Street Address 2 Of The Provider BLDG 4
City Of The Provider TUCSON
Zip Code Of The Provider 857128000
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Pulmonary Disease
Medicare Participation Indicator Y
Number Of HCPCS 47
Number Of Services 2490
Number Of Medicare Beneficiaries 657
Total Submitted Charge Amount 276131.5
Total Medicare Allowed Amount 231858.26
Total Medicare Payment Amount 176699.75
Total Medicare Standardized Payment Amount 181250.53
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 173
Number Of Medicare Beneficiaries With Drug Services 65
Total Drug Submitted ChargeAmount 735.5
Total Drug Medicare AllowedAmount 709.12
Total Drug Medicare PaymentAmount 653.92
Total Drug Medicare Standardized Payment Amount 653.92
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 43
Number Of Medical Services 2317
Number Of Medicare Beneficiaries With Medical Services 657
Total Medical Submitted Charge Amount 275396
Total Medical Medicare Allowed Amount 231149.14
Total Medical Medicare Payment Amount 176045.83
Total Medical Medicare Standardized Payment Amount 180596.61
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 69
Number Of Beneficiaries Age 65 to 74 252
Number Of Beneficiaries Age 75 to 84 244
Number Of Beneficiaries Age Greater 84 92
Number Of Female Beneficiaries 326
Number Of Male Beneficiaries 331
Number Of Non Hispanic White Beneficiaries 558
Number Of Black or African American Beneficiaries 18
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 63
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 543
Number Of Beneficiaries With Medicare Medicaid Entitlement 114
Percent Of With Atrial Fibrillation 25
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 27
Percent Of With Cancer 20
Percent Of With Heart Failure 47
Percent Of With Chronic Kidney Disease 49
Percent Of With Chronic Obstructive Pulmonary Disease 53
Percent Of With Depression 31
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 55
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 1.9204

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