Medicare Facts for James Wong, NP


National Provider Identifier [NPI]: 1225016447
Last Name Of The Provider WONG
First Name Of The Provider JAMES
Middle Initial Of The Provider
Credentials Of The Provider NP
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 210 E MERCED ST
Street Address 2 Of The Provider
City Of The Provider FOWLER
Zip Code Of The Provider 936252313
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 3
Number Of Services 243
Number Of Medicare Beneficiaries 75
Total Submitted Charge Amount 34715.12
Total Medicare Allowed Amount 9546.6
Total Medicare Payment Amount 6869.92
Total Medicare Standardized Payment Amount 8013.46
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 3
Number Of Medical Services 243
Number Of Medicare Beneficiaries With Medical Services 75
Total Medical Submitted Charge Amount 34715.12
Total Medical Medicare Allowed Amount 9546.6
Total Medical Medicare Payment Amount 6869.92
Total Medical Medicare Standardized Payment Amount 8013.46
Average Age Of Beneficiaries 47
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 37
Number Of Male Beneficiaries 38
Number Of Non Hispanic White Beneficiaries 34
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 24
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 0
Number Of Beneficiaries With Medicare Medicaid Entitlement 75
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 0
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 61
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 32
Percent Of With Hypertension 37
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 57
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2831

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