Medicare Facts for Dr. Brandon O. Wielert, DPT


National Provider Identifier [NPI]: 1629418124
Last Name Of The Provider WIELERT
First Name Of The Provider BRANDON
Middle Initial Of The Provider O
Credentials Of The Provider D.P.T.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1206 N MAIN ST
Street Address 2 Of The Provider
City Of The Provider MOUNTAIN GROVE
Zip Code Of The Provider 65711
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 1989
Number Of Medicare Beneficiaries 102
Total Submitted Charge Amount 55748.32
Total Medicare Allowed Amount 46959.49
Total Medicare Payment Amount 36221.69
Total Medicare Standardized Payment Amount 29802.16
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 17
Number Of Medical Services 1989
Number Of Medicare Beneficiaries With Medical Services 102
Total Medical Submitted Charge Amount 55748.32
Total Medical Medicare Allowed Amount 46959.49
Total Medical Medicare Payment Amount 36221.69
Total Medical Medicare Standardized Payment Amount 29802.16
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 18
Number Of Beneficiaries Age 65 to 74 44
Number Of Beneficiaries Age 75 to 84 29
Number Of Beneficiaries Age Greater 84 11
Number Of Female Beneficiaries 61
Number Of Male Beneficiaries 41
Number Of Non Hispanic White Beneficiaries
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 86
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 25
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 49
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 69
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.149

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