Medicare Facts for Melissa Johnson


National Provider Identifier [NPI]: 1184618654
Last Name Of The Provider JOHNSON
First Name Of The Provider MELISSA
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider THREE MEDICAL PLAZA DRIVE
Street Address 2 Of The Provider SUITE 260
City Of The Provider DUBLIN
Zip Code Of The Provider 956613089
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Obstetrics/Gynecology
Medicare Participation Indicator Y
Number Of HCPCS 27
Number Of Services 904
Number Of Medicare Beneficiaries 94
Total Submitted Charge Amount 65331.2
Total Medicare Allowed Amount 19048.83
Total Medicare Payment Amount 14775.69
Total Medicare Standardized Payment Amount 14578.01
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 45
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 94
Number Of Male Beneficiaries 0
Number Of Non Hispanic White Beneficiaries 82
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 69
Number Of Beneficiaries With Medicare Medicaid Entitlement 25
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
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 27
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 52
Percent Of With Ischemic Heart Disease 17
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 27
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.8798

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