Medicare Facts for Dr. Kenneth D. Harrison, MD


National Provider Identifier [NPI]: 1871670695
Last Name Of The Provider HARRISON
First Name Of The Provider KENNETH
Middle Initial Of The Provider L
Credentials Of The Provider PA
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3177 OCEAN VIEW BLVD.
Street Address 2 Of The Provider COMPREHENSIVE HEALTH CENTER/SAN YSIDRO HEALTH CENTER
City Of The Provider SAN DIEGO
Zip Code Of The Provider 92113
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 8
Number Of Services 111
Number Of Medicare Beneficiaries 50
Total Submitted Charge Amount 1369
Total Medicare Allowed Amount 503.19
Total Medicare Payment Amount 422.57
Total Medicare Standardized Payment Amount 422.96
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 8
Number Of Medical Services 111
Number Of Medicare Beneficiaries With Medical Services 50
Total Medical Submitted Charge Amount 1369
Total Medical Medicare Allowed Amount 503.19
Total Medical Medicare Payment Amount 422.57
Total Medical Medicare Standardized Payment Amount 422.96
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 12
Number Of Beneficiaries Age 65 to 74 24
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 28
Number Of Male Beneficiaries 22
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 23
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 36
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 66
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.4801

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