Medicare Facts for Dr. Jessica D. Ray, DC


National Provider Identifier [NPI]: 1114364908
Last Name Of The Provider RAY
First Name Of The Provider JESSICA
Middle Initial Of The Provider D
Credentials Of The Provider D.C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3412 NAMEOKI RD
Street Address 2 Of The Provider
City Of The Provider GRANITE CITY
Zip Code Of The Provider 620403702
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Chiropractic
Medicare Participation Indicator Y
Number Of HCPCS 3
Number Of Services 564
Number Of Medicare Beneficiaries 48
Total Submitted Charge Amount 29705
Total Medicare Allowed Amount 24953.15
Total Medicare Payment Amount 19397.62
Total Medicare Standardized Payment Amount 19568.84
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 3
Number Of Medical Services 564
Number Of Medicare Beneficiaries With Medical Services 48
Total Medical Submitted Charge Amount 29705
Total Medical Medicare Allowed Amount 24953.15
Total Medical Medicare Payment Amount 19397.62
Total Medical Medicare Standardized Payment Amount 19568.84
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 17
Number Of Beneficiaries Age 65 to 74 19
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 29
Number Of Male Beneficiaries 19
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 32
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 0
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 23
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 44
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1091

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