Medicare Facts for Kristina M. Wakeman


National Provider Identifier [NPI]: 1356652861
Last Name Of The Provider WAKEMAN
First Name Of The Provider KRISTINA
Middle Initial Of The Provider M
Credentials Of The Provider
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 251 COUNTY ROAD 120
Street Address 2 Of The Provider SUITE A
City Of The Provider SAINT CLOUD
Zip Code Of The Provider 563034872
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 10
Number Of Services 835
Number Of Medicare Beneficiaries 106
Total Submitted Charge Amount 41658.5
Total Medicare Allowed Amount 24455.99
Total Medicare Payment Amount 18532.41
Total Medicare Standardized Payment Amount 14541.83
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 10
Number Of Medical Services 835
Number Of Medicare Beneficiaries With Medical Services 106
Total Medical Submitted Charge Amount 41658.5
Total Medical Medicare Allowed Amount 24455.99
Total Medical Medicare Payment Amount 18532.41
Total Medical Medicare Standardized Payment Amount 14541.83
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 22
Number Of Beneficiaries Age 65 to 74 44
Number Of Beneficiaries Age 75 to 84 26
Number Of Beneficiaries Age Greater 84 14
Number Of Female Beneficiaries 78
Number Of Male Beneficiaries 28
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 83
Number Of Beneficiaries With Medicare Medicaid Entitlement 23
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 14
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 27
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 51
Percent Of With Ischemic Heart Disease 16
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9836

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