Medicare Facts for Dr. Kent S. Wilson, MD


National Provider Identifier [NPI]: 1013924364
Last Name Of The Provider WILSON
First Name Of The Provider KENT
Middle Initial Of The Provider A
Credentials Of The Provider O.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 808 W MOORE AVE
Street Address 2 Of The Provider SUITE B
City Of The Provider TERRELL
Zip Code Of The Provider 751603002
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 584
Number Of Medicare Beneficiaries 314
Total Submitted Charge Amount 72237.6
Total Medicare Allowed Amount 57782.99
Total Medicare Payment Amount 38233.87
Total Medicare Standardized Payment Amount 40641.35
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 17
Number Of Medical Services 584
Number Of Medicare Beneficiaries With Medical Services 314
Total Medical Submitted Charge Amount 72237.6
Total Medical Medicare Allowed Amount 57782.99
Total Medical Medicare Payment Amount 38233.87
Total Medical Medicare Standardized Payment Amount 40641.35
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 21
Number Of Beneficiaries Age 65 to 74 152
Number Of Beneficiaries Age 75 to 84 91
Number Of Beneficiaries Age Greater 84 50
Number Of Female Beneficiaries 199
Number Of Male Beneficiaries 115
Number Of Non Hispanic White Beneficiaries 287
Number Of Black or African American Beneficiaries 14
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 289
Number Of Beneficiaries With Medicare Medicaid Entitlement 25
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 4
Percent Of With Cancer 7
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 18
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0287

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