Medicare Facts for Dr. Gabrielle K. Jackson, MD


National Provider Identifier [NPI]: 1487651832
Last Name Of The Provider JACKSON
First Name Of The Provider GABRIELLE
Middle Initial Of The Provider K
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2215 LANDOVER PL
Street Address 2 Of The Provider
City Of The Provider LYNCHBURG
Zip Code Of The Provider 245012115
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 22
Number Of Services 1960
Number Of Medicare Beneficiaries 990
Total Submitted Charge Amount 240576.72
Total Medicare Allowed Amount 183731.11
Total Medicare Payment Amount 140787.13
Total Medicare Standardized Payment Amount 144726.02
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 22
Number Of Medical Services 1960
Number Of Medicare Beneficiaries With Medical Services 990
Total Medical Submitted Charge Amount 240576.72
Total Medical Medicare Allowed Amount 183731.11
Total Medical Medicare Payment Amount 140787.13
Total Medical Medicare Standardized Payment Amount 144726.02
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 178
Number Of Beneficiaries Age 65 to 74 245
Number Of Beneficiaries Age 75 to 84 301
Number Of Beneficiaries Age Greater 84 266
Number Of Female Beneficiaries 564
Number Of Male Beneficiaries 426
Number Of Non Hispanic White Beneficiaries 765
Number Of Black or African American Beneficiaries 212
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 599
Number Of Beneficiaries With Medicare Medicaid Entitlement 391
Percent Of With Atrial Fibrillation 21
Percent Of With Alzheimers Disease or Dementia 38
Percent Of With Asthma 10
Percent Of With Cancer 13
Percent Of With Heart Failure 43
Percent Of With Chronic Kidney Disease 59
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 36
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 47
Percent Of With Osteoporosis 20
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders 12
Percent Of With Stroke 16
Average HCC Risk Score Of Beneficiaries 2.1237

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