Medicare Facts for Dr. Tessa E. Wigger, MD


National Provider Identifier [NPI]: 1497919344
Last Name Of The Provider WIGGER
First Name Of The Provider TESSA
Middle Initial Of The Provider E
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2237 LITHIA CENTER LN
Street Address 2 Of The Provider
City Of The Provider VALRICO
Zip Code Of The Provider 335965676
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 28
Number Of Services 704
Number Of Medicare Beneficiaries 172
Total Submitted Charge Amount 45069
Total Medicare Allowed Amount 39847.04
Total Medicare Payment Amount 28704.75
Total Medicare Standardized Payment Amount 28956.13
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 90
Number Of Medicare Beneficiaries With Drug Services 46
Total Drug Submitted ChargeAmount 3228
Total Drug Medicare AllowedAmount 1229.23
Total Drug Medicare PaymentAmount 1189.16
Total Drug Medicare Standardized Payment Amount 1189.16
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 22
Number Of Medical Services 614
Number Of Medicare Beneficiaries With Medical Services 172
Total Medical Submitted Charge Amount 41841
Total Medical Medicare Allowed Amount 38617.81
Total Medical Medicare Payment Amount 27515.59
Total Medical Medicare Standardized Payment Amount 27766.97
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 15
Number Of Beneficiaries Age 65 to 74 94
Number Of Beneficiaries Age 75 to 84 43
Number Of Beneficiaries Age Greater 84 20
Number Of Female Beneficiaries 132
Number Of Male Beneficiaries 40
Number Of Non Hispanic White Beneficiaries 153
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma
Percent Of With Cancer 15
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 15
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8673

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