Medicare Facts for Dr. Laura J. Wild, DDS


National Provider Identifier [NPI]: 1770763476
Last Name Of The Provider WILD
First Name Of The Provider LAURA
Middle Initial Of The Provider M
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 253 WITHERSPOON ST
Street Address 2 Of The Provider
City Of The Provider PRINCETON
Zip Code Of The Provider 085403211
State Code Of The Provider NJ
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 30
Number Of Services 67
Number Of Medicare Beneficiaries 67
Total Submitted Charge Amount 165568
Total Medicare Allowed Amount 19321.52
Total Medicare Payment Amount 15148.08
Total Medicare Standardized Payment Amount 14223.37
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 30
Number Of Medical Services 67
Number Of Medicare Beneficiaries With Medical Services 67
Total Medical Submitted Charge Amount 165568
Total Medical Medicare Allowed Amount 19321.52
Total Medical Medicare Payment Amount 15148.08
Total Medical Medicare Standardized Payment Amount 14223.37
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 26
Number Of Beneficiaries Age 75 to 84 23
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 37
Number Of Male Beneficiaries 30
Number Of Non Hispanic White Beneficiaries 55
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma
Percent Of With Cancer 16
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 36
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 25
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 57
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.9499

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