Medicare Facts for Stanley R. Ferguson, PA-C


National Provider Identifier [NPI]: 1124105838
Last Name Of The Provider FERGUSON
First Name Of The Provider STANLEY
Middle Initial Of The Provider R
Credentials Of The Provider P.A.-C
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 775 SW 9TH ST
Street Address 2 Of The Provider SUITE B
City Of The Provider NEWPORT
Zip Code Of The Provider 973654895
State Code Of The Provider OR
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 40
Number Of Services 1167
Number Of Medicare Beneficiaries 226
Total Submitted Charge Amount 168380.5
Total Medicare Allowed Amount 62042.06
Total Medicare Payment Amount 46506.07
Total Medicare Standardized Payment Amount 56935.88
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 179
Number Of Medicare Beneficiaries With Drug Services 59
Total Drug Submitted ChargeAmount 4226.5
Total Drug Medicare AllowedAmount 2012.86
Total Drug Medicare PaymentAmount 1917.82
Total Drug Medicare Standardized Payment Amount 1917.82
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 29
Number Of Medical Services 988
Number Of Medicare Beneficiaries With Medical Services 226
Total Medical Submitted Charge Amount 164154
Total Medical Medicare Allowed Amount 60029.2
Total Medical Medicare Payment Amount 44588.25
Total Medical Medicare Standardized Payment Amount 55018.06
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 22
Number Of Beneficiaries Age 65 to 74 109
Number Of Beneficiaries Age 75 to 84 64
Number Of Beneficiaries Age Greater 84 31
Number Of Female Beneficiaries 115
Number Of Male Beneficiaries 111
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 197
Number Of Beneficiaries With Medicare Medicaid Entitlement 29
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma
Percent Of With Cancer 6
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 14
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9802

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