Medicare Facts for Dr. Mark D. Jacoby, MD


National Provider Identifier [NPI]: 1073590816
Last Name Of The Provider JACOBY
First Name Of The Provider MARK
Middle Initial Of The Provider D
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2625 E DIVISADERO ST
Street Address 2 Of The Provider PHYSICIAN SERVICES
City Of The Provider FRESNO
Zip Code Of The Provider 937211431
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 28
Number Of Services 498
Number Of Medicare Beneficiaries 433
Total Submitted Charge Amount 220673
Total Medicare Allowed Amount 68165.78
Total Medicare Payment Amount 52622.26
Total Medicare Standardized Payment Amount 52131.5
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 28
Number Of Medical Services 498
Number Of Medicare Beneficiaries With Medical Services 433
Total Medical Submitted Charge Amount 220673
Total Medical Medicare Allowed Amount 68165.78
Total Medical Medicare Payment Amount 52622.26
Total Medical Medicare Standardized Payment Amount 52131.5
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 179
Number Of Beneficiaries Age 65 to 74 123
Number Of Beneficiaries Age 75 to 84 80
Number Of Beneficiaries Age Greater 84 51
Number Of Female Beneficiaries 221
Number Of Male Beneficiaries 212
Number Of Non Hispanic White Beneficiaries 173
Number Of Black or African American Beneficiaries 50
Number Of AsianPacific Islander Beneficiaries 27
Number Of Hispanic Beneficiaries 171
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 90
Number Of Beneficiaries With Medicare Medicaid Entitlement 343
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 24
Percent Of With Asthma 23
Percent Of With Cancer 7
Percent Of With Heart Failure 33
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 35
Percent Of With Diabetes 53
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 18
Percent Of With Stroke 14
Average HCC Risk Score Of Beneficiaries 2.1655

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