National Provider Identifier [NPI]: |
1235340753 |
Last Name Of The Provider |
SWEET |
First Name Of The Provider |
AMY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4005 COMMUNITY CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WESTON |
Zip Code Of The Provider |
544764139 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pediatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
12481 |
Number Of Medicare Beneficiaries |
614 |
Total Submitted Charge Amount |
770141.5 |
Total Medicare Allowed Amount |
113594.22 |
Total Medicare Payment Amount |
90133.63 |
Total Medicare Standardized Payment Amount |
94761.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
10541 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
37252 |
Total Drug Medicare AllowedAmount |
3005.26 |
Total Drug Medicare PaymentAmount |
2325.91 |
Total Drug Medicare Standardized Payment Amount |
2325.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
1940 |
Number Of Medicare Beneficiaries With Medical Services |
613 |
Total Medical Submitted Charge Amount |
732889.5 |
Total Medical Medicare Allowed Amount |
110588.96 |
Total Medical Medicare Payment Amount |
87807.72 |
Total Medical Medicare Standardized Payment Amount |
92435.72 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
314 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
477 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
596 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
500 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0483 |