Medicare Facts for Carol J. Adamczyk, MSN


National Provider Identifier [NPI]: 1457502395
Last Name Of The Provider ADAMCZYK
First Name Of The Provider CAROL
Middle Initial Of The Provider J
Credentials Of The Provider MSN
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 10701 W RESEARCH DR
Street Address 2 Of The Provider
City Of The Provider WAUWATOSA
Zip Code Of The Provider 532263452
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 6
Number Of Services 182
Number Of Medicare Beneficiaries 130
Total Submitted Charge Amount 33598
Total Medicare Allowed Amount 12216.93
Total Medicare Payment Amount 7704.67
Total Medicare Standardized Payment Amount 9861.53
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 182
Number Of Medicare Beneficiaries With Medical Services 130
Total Medical Submitted Charge Amount 33598
Total Medical Medicare Allowed Amount 12216.93
Total Medical Medicare Payment Amount 7704.67
Total Medical Medicare Standardized Payment Amount 9861.53
Average Age Of Beneficiaries 62
Number Of Beneficiaries Age Less65 68
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84 27
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 90
Number Of Male Beneficiaries 40
Number Of Non Hispanic White Beneficiaries 94
Number Of Black or African American Beneficiaries 25
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 0
Number Of Beneficiaries With Medicare Only Entitlement 64
Number Of Beneficiaries With Medicare Medicaid Entitlement 66
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 15
Percent Of With Cancer
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 42
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 17
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 1.6833

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