Medicare Facts for Dr. Pamela S. Fennewald, MD


National Provider Identifier [NPI]: 1912911991
Last Name Of The Provider FENNEWALD
First Name Of The Provider PAMELA
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 731 S ILLINOIS ROUTE 21
Street Address 2 Of The Provider SUITE 130
City Of The Provider GURNEE
Zip Code Of The Provider 600313813
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 20
Number Of Services 1261
Number Of Medicare Beneficiaries 587
Total Submitted Charge Amount 169949
Total Medicare Allowed Amount 100322.8
Total Medicare Payment Amount 80683.44
Total Medicare Standardized Payment Amount 76442.51
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 20
Number Of Medical Services 1261
Number Of Medicare Beneficiaries With Medical Services 587
Total Medical Submitted Charge Amount 169949
Total Medical Medicare Allowed Amount 100322.8
Total Medical Medicare Payment Amount 80683.44
Total Medical Medicare Standardized Payment Amount 76442.51
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 18
Number Of Beneficiaries Age 65 to 74 249
Number Of Beneficiaries Age 75 to 84 205
Number Of Beneficiaries Age Greater 84 115
Number Of Female Beneficiaries 504
Number Of Male Beneficiaries 83
Number Of Non Hispanic White Beneficiaries 526
Number Of Black or African American Beneficiaries 24
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 20
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 550
Number Of Beneficiaries With Medicare Medicaid Entitlement 37
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 3
Percent Of With Cancer 10
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 12
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 32
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease 20
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.8813

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