Medicare Facts for Jody B. Smith


National Provider Identifier [NPI]: 1063733673
Last Name Of The Provider SMITH
First Name Of The Provider JODY
Middle Initial Of The Provider B
Credentials Of The Provider AU.D. CCC-A
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1100 9TH AVE
Street Address 2 Of The Provider
City Of The Provider SEATTLE
Zip Code Of The Provider 981012756
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Audiologist (billing independently)
Medicare Participation Indicator Y
Number Of HCPCS 8
Number Of Services 263
Number Of Medicare Beneficiaries 132
Total Submitted Charge Amount 25830
Total Medicare Allowed Amount 7976.16
Total Medicare Payment Amount 5834.13
Total Medicare Standardized Payment Amount 5406.08
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 263
Number Of Medicare Beneficiaries With Medical Services 132
Total Medical Submitted Charge Amount 25830
Total Medical Medicare Allowed Amount 7976.16
Total Medical Medicare Payment Amount 5834.13
Total Medical Medicare Standardized Payment Amount 5406.08
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 66
Number Of Beneficiaries Age 75 to 84 39
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 82
Number Of Male Beneficiaries 50
Number Of Non Hispanic White Beneficiaries 114
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 114
Number Of Beneficiaries With Medicare Medicaid Entitlement 18
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma
Percent Of With Cancer 9
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 27
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 49
Percent Of With Hypertension 52
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0112

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