Medicare Facts for Dr. Dennis T. Manshio, MD


National Provider Identifier [NPI]: 1811026297
Last Name Of The Provider MANSHIO
First Name Of The Provider DENNIS
Middle Initial Of The Provider T
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 945 W GEORGE ST
Street Address 2 Of The Provider SUITE 218
City Of The Provider CHICAGO
Zip Code Of The Provider 606575893
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 167
Number Of Medicare Beneficiaries 44
Total Submitted Charge Amount 17432
Total Medicare Allowed Amount 11698.43
Total Medicare Payment Amount 8915.87
Total Medicare Standardized Payment Amount 8365.79
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 21
Number Of Medicare Beneficiaries With Drug Services 21
Total Drug Submitted ChargeAmount 630
Total Drug Medicare AllowedAmount 252.84
Total Drug Medicare PaymentAmount 247.8
Total Drug Medicare Standardized Payment Amount 247.8
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 13
Number Of Medical Services 146
Number Of Medicare Beneficiaries With Medical Services 44
Total Medical Submitted Charge Amount 16802
Total Medical Medicare Allowed Amount 11445.59
Total Medical Medicare Payment Amount 8668.07
Total Medical Medicare Standardized Payment Amount 8117.99
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 21
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 22
Number Of Male Beneficiaries 22
Number Of Non Hispanic White Beneficiaries 22
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 11
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 33
Number Of Beneficiaries With Medicare Medicaid Entitlement 11
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 0
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 39
Percent Of With Hypertension 52
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8469

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