National Provider Identifier [NPI]: |
1871753632 |
Last Name Of The Provider |
FRANGISKAKIS |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 WIND RIDGE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WAUSAU |
Zip Code Of The Provider |
544014173 |
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 |
77 |
Number Of Services |
4188 |
Number Of Medicare Beneficiaries |
1513 |
Total Submitted Charge Amount |
2047959 |
Total Medicare Allowed Amount |
363750.96 |
Total Medicare Payment Amount |
277362.42 |
Total Medicare Standardized Payment Amount |
285372.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
475 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
45831 |
Total Drug Medicare AllowedAmount |
23209.22 |
Total Drug Medicare PaymentAmount |
17885.69 |
Total Drug Medicare Standardized Payment Amount |
17885.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
3713 |
Number Of Medicare Beneficiaries With Medical Services |
1513 |
Total Medical Submitted Charge Amount |
2002128 |
Total Medical Medicare Allowed Amount |
340541.74 |
Total Medical Medicare Payment Amount |
259476.73 |
Total Medical Medicare Standardized Payment Amount |
267486.89 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
578 |
Number Of Beneficiaries Age 75 to 84 |
532 |
Number Of Beneficiaries Age Greater 84 |
255 |
Number Of Female Beneficiaries |
749 |
Number Of Male Beneficiaries |
764 |
Number Of Non Hispanic White Beneficiaries |
1440 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
30 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1189 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
324 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5494 |