Medicare Facts for Susan E. Wisniewski


National Provider Identifier [NPI]: 1629047675
Last Name Of The Provider WISNIEWSKI
First Name Of The Provider SUSAN
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1110 SOUTH AVE
Street Address 2 Of The Provider SUITE 306
City Of The Provider STATEN ISLAND
Zip Code Of The Provider 103143403
State Code Of The Provider NY
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 326
Number Of Medicare Beneficiaries 117
Total Submitted Charge Amount 66920.02
Total Medicare Allowed Amount 26930.01
Total Medicare Payment Amount 19641.67
Total Medicare Standardized Payment Amount 17096.68
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 29
Number Of Medicare Beneficiaries With Drug Services 25
Total Drug Submitted ChargeAmount 1442.02
Total Drug Medicare AllowedAmount 686.27
Total Drug Medicare PaymentAmount 669.97
Total Drug Medicare Standardized Payment Amount 669.97
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 16
Number Of Medical Services 297
Number Of Medicare Beneficiaries With Medical Services 117
Total Medical Submitted Charge Amount 65478
Total Medical Medicare Allowed Amount 26243.74
Total Medical Medicare Payment Amount 18971.7
Total Medical Medicare Standardized Payment Amount 16426.71
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 60
Number Of Beneficiaries Age 75 to 84 25
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 85
Number Of Male Beneficiaries 32
Number Of Non Hispanic White Beneficiaries 97
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 96
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 9
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 18
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9492

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