Medicare Facts for Dawn C. Roman, PA-C


National Provider Identifier [NPI]: 1831199587
Last Name Of The Provider ROMAN
First Name Of The Provider DAWN
Middle Initial Of The Provider C
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1051 ESSINGTON RD
Street Address 2 Of The Provider SUITE 280
City Of The Provider JOLIET
Zip Code Of The Provider 604352801
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 33
Number Of Services 776
Number Of Medicare Beneficiaries 201
Total Submitted Charge Amount 54980.61
Total Medicare Allowed Amount 41624.61
Total Medicare Payment Amount 29425.68
Total Medicare Standardized Payment Amount 31449.76
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 73
Number Of Beneficiaries Age Less65 13
Number Of Beneficiaries Age 65 to 74 100
Number Of Beneficiaries Age 75 to 84 68
Number Of Beneficiaries Age Greater 84 20
Number Of Female Beneficiaries 126
Number Of Male Beneficiaries 75
Number Of Non Hispanic White Beneficiaries 187
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 188
Number Of Beneficiaries With Medicare Medicaid Entitlement 13
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 13
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 15
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1197

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