Medicare Facts for Dr. Monique N. Sessler, MD


National Provider Identifier [NPI]: 1528013075
Last Name Of The Provider SESSLER
First Name Of The Provider MONIQUE
Middle Initial Of The Provider N
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 117 BULIFANTS BOULEVARD
Street Address 2 Of The Provider SUITE A
City Of The Provider WILLIAMSBURG
Zip Code Of The Provider 231885709
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 47
Number Of Services 1862
Number Of Medicare Beneficiaries 295
Total Submitted Charge Amount 223478.71
Total Medicare Allowed Amount 148706.41
Total Medicare Payment Amount 103983.51
Total Medicare Standardized Payment Amount 106267.52
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 109
Number Of Medicare Beneficiaries With Drug Services 64
Total Drug Submitted ChargeAmount 3048.26
Total Drug Medicare AllowedAmount 1763.54
Total Drug Medicare PaymentAmount 1712.01
Total Drug Medicare Standardized Payment Amount 1712.01
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 42
Number Of Medical Services 1753
Number Of Medicare Beneficiaries With Medical Services 295
Total Medical Submitted Charge Amount 220430.45
Total Medical Medicare Allowed Amount 146942.87
Total Medical Medicare Payment Amount 102271.5
Total Medical Medicare Standardized Payment Amount 104555.51
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 21
Number Of Beneficiaries Age 65 to 74 164
Number Of Beneficiaries Age 75 to 84 87
Number Of Beneficiaries Age Greater 84 23
Number Of Female Beneficiaries 205
Number Of Male Beneficiaries 90
Number Of Non Hispanic White Beneficiaries 223
Number Of Black or African American Beneficiaries 60
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 280
Number Of Beneficiaries With Medicare Medicaid Entitlement 15
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 4
Percent Of With Cancer 10
Percent Of With Heart Failure 7
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 17
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 17
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.8677

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