Medicare Facts for Dr. Timothy J. Kietzman, MD


National Provider Identifier [NPI]: 1952689705
Last Name Of The Provider KIETZMAN
First Name Of The Provider TIMOTHY
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2015 N MAIN ST
Street Address 2 Of The Provider
City Of The Provider WHEATON
Zip Code Of The Provider 601873152
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 33
Number Of Services 866
Number Of Medicare Beneficiaries 240
Total Submitted Charge Amount 81479.76
Total Medicare Allowed Amount 78559.23
Total Medicare Payment Amount 59899.38
Total Medicare Standardized Payment Amount 57529.76
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 33
Number Of Medical Services 866
Number Of Medicare Beneficiaries With Medical Services 240
Total Medical Submitted Charge Amount 81479.76
Total Medical Medicare Allowed Amount 78559.23
Total Medical Medicare Payment Amount 59899.38
Total Medical Medicare Standardized Payment Amount 57529.76
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 21
Number Of Beneficiaries Age 65 to 74 107
Number Of Beneficiaries Age 75 to 84 78
Number Of Beneficiaries Age Greater 84 34
Number Of Female Beneficiaries 120
Number Of Male Beneficiaries 120
Number Of Non Hispanic White Beneficiaries 215
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 11
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 217
Number Of Beneficiaries With Medicare Medicaid Entitlement 23
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 11
Percent Of With Cancer 13
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 23
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 17
Average HCC Risk Score Of Beneficiaries 1.2753

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