Medicare Facts for Karen J. Kowalczyk


National Provider Identifier [NPI]: 1316189343
Last Name Of The Provider KOWALCZYK
First Name Of The Provider KAREN
Middle Initial Of The Provider A
Credentials Of The Provider APN, NP-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 431 W LIBERTY ST
Street Address 2 Of The Provider
City Of The Provider WAUCONDA
Zip Code Of The Provider 600842452
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 23
Number Of Services 322
Number Of Medicare Beneficiaries 132
Total Submitted Charge Amount 42882
Total Medicare Allowed Amount 20701.55
Total Medicare Payment Amount 14373.91
Total Medicare Standardized Payment Amount 16206.41
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 15
Number Of Medicare Beneficiaries With Drug Services 13
Total Drug Submitted ChargeAmount 1132
Total Drug Medicare AllowedAmount 351.66
Total Drug Medicare PaymentAmount 341.27
Total Drug Medicare Standardized Payment Amount 341.27
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 18
Number Of Medical Services 307
Number Of Medicare Beneficiaries With Medical Services 132
Total Medical Submitted Charge Amount 41750
Total Medical Medicare Allowed Amount 20349.89
Total Medical Medicare Payment Amount 14032.64
Total Medical Medicare Standardized Payment Amount 15865.14
Average Age Of Beneficiaries 62
Number Of Beneficiaries Age Less65 58
Number Of Beneficiaries Age 65 to 74 47
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 84
Number Of Male Beneficiaries 48
Number Of Non Hispanic White Beneficiaries 90
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 28
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 53
Number Of Beneficiaries With Medicare Medicaid Entitlement 79
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 14
Percent Of With Cancer
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 25
Percent Of With Diabetes 43
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 17
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1181

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