Medicare Facts for Dr. Kenneth B. Wiseman, DO


National Provider Identifier [NPI]: 1427083849
Last Name Of The Provider WISEMAN
First Name Of The Provider KENNETH
Middle Initial Of The Provider
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1216 E HUNTING PARK AVE
Street Address 2 Of The Provider
City Of The Provider PHILADELPHIA
Zip Code Of The Provider 19124
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 27
Number Of Services 1496
Number Of Medicare Beneficiaries 144
Total Submitted Charge Amount 113355
Total Medicare Allowed Amount 82784.54
Total Medicare Payment Amount 59948.06
Total Medicare Standardized Payment Amount 56674.43
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 93
Number Of Medicare Beneficiaries With Drug Services 79
Total Drug Submitted ChargeAmount 4885
Total Drug Medicare AllowedAmount 2997.35
Total Drug Medicare PaymentAmount 2934.24
Total Drug Medicare Standardized Payment Amount 2934.24
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 21
Number Of Medical Services 1403
Number Of Medicare Beneficiaries With Medical Services 144
Total Medical Submitted Charge Amount 108470
Total Medical Medicare Allowed Amount 79787.19
Total Medical Medicare Payment Amount 57013.82
Total Medical Medicare Standardized Payment Amount 53740.19
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 64
Number Of Beneficiaries Age 65 to 74 48
Number Of Beneficiaries Age 75 to 84 20
Number Of Beneficiaries Age Greater 84 12
Number Of Female Beneficiaries 81
Number Of Male Beneficiaries 63
Number Of Non Hispanic White Beneficiaries 68
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 50
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 64
Number Of Beneficiaries With Medicare Medicaid Entitlement 80
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 12
Percent Of With Cancer 8
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 24
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 47
Percent Of With Osteoporosis 17
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2243

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