Medicare Facts for Dr. Antoinette Justice, DO


National Provider Identifier [NPI]: 1245559632
Last Name Of The Provider JUSTICE
First Name Of The Provider ANTOINETTE
Middle Initial Of The Provider
Credentials Of The Provider D.O.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 184 S MAYO TRL
Street Address 2 Of The Provider
City Of The Provider PIKEVILLE
Zip Code Of The Provider 415011518
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 22
Number Of Services 206
Number Of Medicare Beneficiaries 107
Total Submitted Charge Amount 17409.39
Total Medicare Allowed Amount 12530.22
Total Medicare Payment Amount 9666.23
Total Medicare Standardized Payment Amount 10388.22
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 32
Number Of Medicare Beneficiaries With Drug Services 23
Total Drug Submitted ChargeAmount 1497.39
Total Drug Medicare AllowedAmount 839.75
Total Drug Medicare PaymentAmount 820.95
Total Drug Medicare Standardized Payment Amount 820.95
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 16
Number Of Medical Services 174
Number Of Medicare Beneficiaries With Medical Services 107
Total Medical Submitted Charge Amount 15912
Total Medical Medicare Allowed Amount 11690.47
Total Medical Medicare Payment Amount 8845.28
Total Medical Medicare Standardized Payment Amount 9567.27
Average Age Of Beneficiaries 62
Number Of Beneficiaries Age Less65 51
Number Of Beneficiaries Age 65 to 74 43
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 65
Number Of Male Beneficiaries 42
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 59
Number Of Beneficiaries With Medicare Medicaid Entitlement 48
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 11
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 35
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0997

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