Medicare Facts for Becky Wallin, MS


National Provider Identifier [NPI]: 1093764078
Last Name Of The Provider WALLIN
First Name Of The Provider BECKY
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2400 SAMARITAN DR
Street Address 2 Of The Provider SUITE 203
City Of The Provider SAN JOSE
Zip Code Of The Provider 951243910
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 23
Number Of Services 336
Number Of Medicare Beneficiaries 112
Total Submitted Charge Amount 66352
Total Medicare Allowed Amount 31672.26
Total Medicare Payment Amount 23395
Total Medicare Standardized Payment Amount 20415.31
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 36
Number Of Medicare Beneficiaries With Drug Services 33
Total Drug Submitted ChargeAmount 1361
Total Drug Medicare AllowedAmount 1214.78
Total Drug Medicare PaymentAmount 1186.5
Total Drug Medicare Standardized Payment Amount 1186.5
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 19
Number Of Medical Services 300
Number Of Medicare Beneficiaries With Medical Services 111
Total Medical Submitted Charge Amount 64991
Total Medical Medicare Allowed Amount 30457.48
Total Medical Medicare Payment Amount 22208.5
Total Medical Medicare Standardized Payment Amount 19228.81
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 56
Number Of Beneficiaries Age 75 to 84 39
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 88
Number Of Male Beneficiaries 24
Number Of Non Hispanic White Beneficiaries 94
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
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 12
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 14
Percent Of With Diabetes 20
Percent Of With Hyperlipidemia 40
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 21
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7964

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