Medicare Facts for Dr. Anthony DeFranco, MD


National Provider Identifier [NPI]: 1215930391
Last Name Of The Provider DEFRANCO
First Name Of The Provider ANTHONY
Middle Initial Of The Provider C
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2801 W KINNICKINNIC RIVER PKWY
Street Address 2 Of The Provider SUITE 840
City Of The Provider MILWAUKEE
Zip Code Of The Provider 532153669
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 73
Number Of Services 5935
Number Of Medicare Beneficiaries 1132
Total Submitted Charge Amount 3165209.75
Total Medicare Allowed Amount 409943.78
Total Medicare Payment Amount 304651.87
Total Medicare Standardized Payment Amount 320331.77
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 2405
Number Of Medicare Beneficiaries With Drug Services 249
Total Drug Submitted ChargeAmount 97962
Total Drug Medicare AllowedAmount 40236.4
Total Drug Medicare PaymentAmount 30073.63
Total Drug Medicare Standardized Payment Amount 30073.63
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 67
Number Of Medical Services 3530
Number Of Medicare Beneficiaries With Medical Services 1131
Total Medical Submitted Charge Amount 3067247.75
Total Medical Medicare Allowed Amount 369707.38
Total Medical Medicare Payment Amount 274578.24
Total Medical Medicare Standardized Payment Amount 290258.14
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 143
Number Of Beneficiaries Age 65 to 74 383
Number Of Beneficiaries Age 75 to 84 381
Number Of Beneficiaries Age Greater 84 225
Number Of Female Beneficiaries 580
Number Of Male Beneficiaries 552
Number Of Non Hispanic White Beneficiaries 973
Number Of Black or African American Beneficiaries 70
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 61
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 14
Number Of Beneficiaries With Medicare Only Entitlement 912
Number Of Beneficiaries With Medicare Medicaid Entitlement 220
Percent Of With Atrial Fibrillation 33
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 11
Percent Of With Cancer 13
Percent Of With Heart Failure 43
Percent Of With Chronic Kidney Disease 47
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 25
Percent Of With Diabetes 43
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.8691

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