Medicare Facts for Dr. Ivan A. Wolfson, PSY.D


National Provider Identifier [NPI]: 1205814456
Last Name Of The Provider WOLFSON
First Name Of The Provider IVAN
Middle Initial Of The Provider A
Credentials Of The Provider PSY.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 149 OAK KNOLL TER
Street Address 2 Of The Provider
City Of The Provider HIGHLAND PARK
Zip Code Of The Provider 600355320
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Clinical Psychologist
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 2916
Number Of Medicare Beneficiaries 226
Total Submitted Charge Amount 361861.54
Total Medicare Allowed Amount 243451.59
Total Medicare Payment Amount 189023.85
Total Medicare Standardized Payment Amount 182306.47
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 4
Number Of Medical Services 2916
Number Of Medicare Beneficiaries With Medical Services 226
Total Medical Submitted Charge Amount 361861.54
Total Medical Medicare Allowed Amount 243451.59
Total Medical Medicare Payment Amount 189023.85
Total Medical Medicare Standardized Payment Amount 182306.47
Average Age Of Beneficiaries 82
Number Of Beneficiaries Age Less65 12
Number Of Beneficiaries Age 65 to 74 33
Number Of Beneficiaries Age 75 to 84 74
Number Of Beneficiaries Age Greater 84 107
Number Of Female Beneficiaries 173
Number Of Male Beneficiaries 53
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 142
Number Of Beneficiaries With Medicare Medicaid Entitlement 84
Percent Of With Atrial Fibrillation 23
Percent Of With Alzheimers Disease or Dementia 75
Percent Of With Asthma 9
Percent Of With Cancer 14
Percent Of With Heart Failure 43
Percent Of With Chronic Kidney Disease 43
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 75
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 51
Percent Of With Osteoporosis 19
Percent Of With Rheumatoid Arthritis Osteoarthritis 62
Percent Of With Schizophrenia Other PsychoticDisorders 21
Percent Of With Stroke 15
Average HCC Risk Score Of Beneficiaries 2.0095

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