Medicare Facts for Wesley M. Simons, LMFT


National Provider Identifier [NPI]: 1235367533
Last Name Of The Provider SIMONS
First Name Of The Provider WESLEY
Middle Initial Of The Provider M
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3401 N BROAD ST
Street Address 2 Of The Provider DEPT OF ANESTHESIA
City Of The Provider PHILADELPHIA
Zip Code Of The Provider 191405103
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiology
Medicare Participation Indicator Y
Number Of HCPCS 51
Number Of Services 165
Number Of Medicare Beneficiaries 135
Total Submitted Charge Amount 219606.5
Total Medicare Allowed Amount 41916.56
Total Medicare Payment Amount 32713.67
Total Medicare Standardized Payment Amount 30974.97
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 51
Number Of Medical Services 165
Number Of Medicare Beneficiaries With Medical Services 135
Total Medical Submitted Charge Amount 219606.5
Total Medical Medicare Allowed Amount 41916.56
Total Medical Medicare Payment Amount 32713.67
Total Medical Medicare Standardized Payment Amount 30974.97
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 48
Number Of Beneficiaries Age 65 to 74 56
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 71
Number Of Male Beneficiaries 64
Number Of Non Hispanic White Beneficiaries 60
Number Of Black or African American Beneficiaries 53
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 22
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 65
Number Of Beneficiaries With Medicare Medicaid Entitlement 70
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 21
Percent Of With Cancer 15
Percent Of With Heart Failure 45
Percent Of With Chronic Kidney Disease 49
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 39
Percent Of With Diabetes 51
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 59
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders 14
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 2.8008

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