Medicare Facts for Jennifer M. Ross


National Provider Identifier [NPI]: 1851438857
Last Name Of The Provider ROSS
First Name Of The Provider JENNIFER
Middle Initial Of The Provider I
Credentials Of The Provider D.O.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 7901 DILEY RD
Street Address 2 Of The Provider SUITE 120
City Of The Provider CANAL WINCHESTER
Zip Code Of The Provider 431109612
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 15
Number Of Services 149
Number Of Medicare Beneficiaries 64
Total Submitted Charge Amount 12732
Total Medicare Allowed Amount 8330.34
Total Medicare Payment Amount 6416.48
Total Medicare Standardized Payment Amount 6726.13
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 15
Number Of Medicare Beneficiaries With Drug Services 12
Total Drug Submitted ChargeAmount 247
Total Drug Medicare AllowedAmount 109.06
Total Drug Medicare PaymentAmount 104.41
Total Drug Medicare Standardized Payment Amount 104.41
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 13
Number Of Medical Services 134
Number Of Medicare Beneficiaries With Medical Services 64
Total Medical Submitted Charge Amount 12485
Total Medical Medicare Allowed Amount 8221.28
Total Medical Medicare Payment Amount 6312.07
Total Medical Medicare Standardized Payment Amount 6621.72
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 21
Number Of Beneficiaries Age 65 to 74 23
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 39
Number Of Male Beneficiaries 25
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 47
Number Of Beneficiaries With Medicare Medicaid Entitlement 17
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 27
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 70
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0521

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