Medicare Facts for Dr. John J. Wagner, PSY.D


National Provider Identifier [NPI]: 1588719066
Last Name Of The Provider WAGNER
First Name Of The Provider JOHN
Middle Initial Of The Provider J
Credentials Of The Provider PSY.D
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2106 KNIGHTSBRIDGE DR
Street Address 2 Of The Provider
City Of The Provider CINCINNATI
Zip Code Of The Provider 452442629
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Clinical Psychologist
Medicare Participation Indicator Y
Number Of HCPCS 3
Number Of Services 686
Number Of Medicare Beneficiaries 105
Total Submitted Charge Amount 70760
Total Medicare Allowed Amount 66879.97
Total Medicare Payment Amount 50738.31
Total Medicare Standardized Payment Amount 51150.94
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 686
Number Of Medicare Beneficiaries With Medical Services 105
Total Medical Submitted Charge Amount 70760
Total Medical Medicare Allowed Amount 66879.97
Total Medical Medicare Payment Amount 50738.31
Total Medical Medicare Standardized Payment Amount 51150.94
Average Age Of Beneficiaries 81
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84 29
Number Of Beneficiaries Age Greater 84 51
Number Of Female Beneficiaries 78
Number Of Male Beneficiaries 27
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 45
Number Of Beneficiaries With Medicare Medicaid Entitlement 60
Percent Of With Atrial Fibrillation 24
Percent Of With Alzheimers Disease or Dementia 70
Percent Of With Asthma 11
Percent Of With Cancer
Percent Of With Heart Failure 62
Percent Of With Chronic Kidney Disease 63
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 75
Percent Of With Diabetes 44
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 59
Percent Of With Osteoporosis 25
Percent Of With Rheumatoid Arthritis Osteoarthritis 70
Percent Of With Schizophrenia Other PsychoticDisorders 24
Percent Of With Stroke 15
Average HCC Risk Score Of Beneficiaries 2.8125

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