Medicare Facts for Debra A. Trieloff, PA-C


National Provider Identifier [NPI]: 1073580676
Last Name Of The Provider TRIELOFF
First Name Of The Provider DEBRA
Middle Initial Of The Provider A
Credentials Of The Provider PAC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 125 HOSPITAL DR
Street Address 2 Of The Provider
City Of The Provider WATERTOWN
Zip Code Of The Provider 530983303
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 42
Number Of Services 275
Number Of Medicare Beneficiaries 147
Total Submitted Charge Amount 388729
Total Medicare Allowed Amount 14258
Total Medicare Payment Amount 10826.54
Total Medicare Standardized Payment Amount 12056.56
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 42
Number Of Medical Services 275
Number Of Medicare Beneficiaries With Medical Services 147
Total Medical Submitted Charge Amount 388729
Total Medical Medicare Allowed Amount 14258
Total Medical Medicare Payment Amount 10826.54
Total Medical Medicare Standardized Payment Amount 12056.56
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 53
Number Of Beneficiaries Age 75 to 84 49
Number Of Beneficiaries Age Greater 84 29
Number Of Female Beneficiaries 98
Number Of Male Beneficiaries 49
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 118
Number Of Beneficiaries With Medicare Medicaid Entitlement 29
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 18
Percent Of With Asthma 13
Percent Of With Cancer 12
Percent Of With Heart Failure 24
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 37
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 73
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 18
Percent Of With Rheumatoid Arthritis Osteoarthritis 72
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.26

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