Medicare Facts for Therese A. Johnson, PA-C


National Provider Identifier [NPI]: 1326081316
Last Name Of The Provider JOHNSON
First Name Of The Provider THERESE
Middle Initial Of The Provider A
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3267 S 16TH STREET
Street Address 2 Of The Provider EMS OFFICE
City Of The Provider MILWAUKEE
Zip Code Of The Provider 53215
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 24
Number Of Services 282
Number Of Medicare Beneficiaries 220
Total Submitted Charge Amount 143337
Total Medicare Allowed Amount 23330.3
Total Medicare Payment Amount 16005.11
Total Medicare Standardized Payment Amount 20270.91
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 24
Number Of Medical Services 282
Number Of Medicare Beneficiaries With Medical Services 220
Total Medical Submitted Charge Amount 143337
Total Medical Medicare Allowed Amount 23330.3
Total Medical Medicare Payment Amount 16005.11
Total Medical Medicare Standardized Payment Amount 20270.91
Average Age Of Beneficiaries 59
Number Of Beneficiaries Age Less65 123
Number Of Beneficiaries Age 65 to 74 54
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 139
Number Of Male Beneficiaries 81
Number Of Non Hispanic White Beneficiaries 89
Number Of Black or African American Beneficiaries 114
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 78
Number Of Beneficiaries With Medicare Medicaid Entitlement 142
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 22
Percent Of With Cancer 6
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 31
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 17
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.6875

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