Medicare Facts for George E. Wiggins, CRNA


National Provider Identifier [NPI]: 1053321935
Last Name Of The Provider WIGGINS
First Name Of The Provider GEORGE
Middle Initial Of The Provider E
Credentials Of The Provider CRNA
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 12266 DEER RUN RD
Street Address 2 Of The Provider
City Of The Provider MARION
Zip Code Of The Provider 629598948
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 84
Number Of Medicare Beneficiaries 84
Total Submitted Charge Amount 9772.5
Total Medicare Allowed Amount 9772.5
Total Medicare Payment Amount 7661.63
Total Medicare Standardized Payment Amount 7585.16
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 11
Number Of Medical Services 84
Number Of Medicare Beneficiaries With Medical Services 84
Total Medical Submitted Charge Amount 9772.5
Total Medical Medicare Allowed Amount 9772.5
Total Medical Medicare Payment Amount 7661.63
Total Medical Medicare Standardized Payment Amount 7585.16
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 21
Number Of Beneficiaries Age 65 to 74 44
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 48
Number Of Male Beneficiaries 36
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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 53
Number Of Beneficiaries With Medicare Medicaid Entitlement 31
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 43
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.6181

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