Medicare Facts for Stephen A. Spurlock, PA-C


National Provider Identifier [NPI]: 1790093201
Last Name Of The Provider SPURLOCK
First Name Of The Provider STEPHEN
Middle Initial Of The Provider A
Credentials Of The Provider PA-C
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 22 S 900 E
Street Address 2 Of The Provider
City Of The Provider SALT LAKE CITY
Zip Code Of The Provider 841021307
State Code Of The Provider UT
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 20
Number Of Services 37
Number Of Medicare Beneficiaries 23
Total Submitted Charge Amount 117586
Total Medicare Allowed Amount 6121.29
Total Medicare Payment Amount 4676.02
Total Medicare Standardized Payment Amount 4871.68
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 20
Number Of Medical Services 37
Number Of Medicare Beneficiaries With Medical Services 23
Total Medical Submitted Charge Amount 117586
Total Medical Medicare Allowed Amount 6121.29
Total Medical Medicare Payment Amount 4676.02
Total Medical Medicare Standardized Payment Amount 4871.68
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 12
Number Of Male Beneficiaries 11
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
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
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 65
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 1.3138

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