Medicare Facts for Dr. Kim Wilson, MD


National Provider Identifier [NPI]: 1457468928
Last Name Of The Provider WILSON
First Name Of The Provider KIM
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3601 S 6TH AVE
Street Address 2 Of The Provider
City Of The Provider TUCSON
Zip Code Of The Provider 857230001
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Diagnostic Radiology
Medicare Participation Indicator Y
Number Of HCPCS 45
Number Of Services 2682
Number Of Medicare Beneficiaries 1484
Total Submitted Charge Amount 591110
Total Medicare Allowed Amount 158629.02
Total Medicare Payment Amount 117663.43
Total Medicare Standardized Payment Amount 122822.65
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 45
Number Of Medical Services 2682
Number Of Medicare Beneficiaries With Medical Services 1484
Total Medical Submitted Charge Amount 591110
Total Medical Medicare Allowed Amount 158629.02
Total Medical Medicare Payment Amount 117663.43
Total Medical Medicare Standardized Payment Amount 122822.65
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 193
Number Of Beneficiaries Age 65 to 74 775
Number Of Beneficiaries Age 75 to 84 437
Number Of Beneficiaries Age Greater 84 79
Number Of Female Beneficiaries 683
Number Of Male Beneficiaries 801
Number Of Non Hispanic White Beneficiaries 1323
Number Of Black or African American Beneficiaries 44
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 87
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 15
Number Of Beneficiaries With Medicare Only Entitlement 1318
Number Of Beneficiaries With Medicare Medicaid Entitlement 166
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 7
Percent Of With Cancer 47
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 23
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 51
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 2.3862

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