Medicare Facts for Lisa A. Thiel, NNP


National Provider Identifier [NPI]: 1083926406
Last Name Of The Provider THIEL
First Name Of The Provider LISA
Middle Initial Of The Provider M
Credentials Of The Provider MSW
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3132 JEFFERSON ST
Street Address 2 Of The Provider
City Of The Provider SAN DIEGO
Zip Code Of The Provider 921104421
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 6
Number Of Services 263
Number Of Medicare Beneficiaries 37
Total Submitted Charge Amount 26655
Total Medicare Allowed Amount 20528.75
Total Medicare Payment Amount 15283.36
Total Medicare Standardized Payment Amount 15203.13
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 6
Number Of Medical Services 263
Number Of Medicare Beneficiaries With Medical Services 37
Total Medical Submitted Charge Amount 26655
Total Medical Medicare Allowed Amount 20528.75
Total Medical Medicare Payment Amount 15283.36
Total Medical Medicare Standardized Payment Amount 15203.13
Average Age Of Beneficiaries 53
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 21
Number Of Male Beneficiaries 16
Number Of Non Hispanic White Beneficiaries 37
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 0
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 75
Percent Of With Diabetes
Percent Of With Hyperlipidemia 32
Percent Of With Hypertension 30
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 49
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.994

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