Medicare Facts for Mary B. Cross, PA-C


National Provider Identifier [NPI]: 1902889132
Last Name Of The Provider CROSS
First Name Of The Provider MARY
Middle Initial Of The Provider B
Credentials Of The Provider P.A.-C.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 4500 SAN PABLO RD S
Street Address 2 Of The Provider
City Of The Provider JACKSONVILLE
Zip Code Of The Provider 322241865
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 57
Number Of Services 133
Number Of Medicare Beneficiaries 63
Total Submitted Charge Amount 33476.12
Total Medicare Allowed Amount 23188.67
Total Medicare Payment Amount 17853.51
Total Medicare Standardized Payment Amount 17403.45
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 57
Number Of Medical Services 133
Number Of Medicare Beneficiaries With Medical Services 63
Total Medical Submitted Charge Amount 33476.12
Total Medical Medicare Allowed Amount 23188.67
Total Medical Medicare Payment Amount 17853.51
Total Medical Medicare Standardized Payment Amount 17403.45
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 34
Number Of Beneficiaries Age 75 to 84 16
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 26
Number Of Male Beneficiaries 37
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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 21
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 32
Percent Of With Heart Failure 38
Percent Of With Chronic Kidney Disease 43
Percent Of With Chronic Obstructive Pulmonary Disease 44
Percent Of With Depression 27
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.4402

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