Medicare Facts for Dr. Louise A. Sieben, MD


National Provider Identifier [NPI]: 1952331001
Last Name Of The Provider SIEBEN
First Name Of The Provider LOUISE
Middle Initial Of The Provider A
Credentials Of The Provider MD, MS
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3838 W 150TH ST
Street Address 2 Of The Provider METROHEALTH WEST PARK MEDICAL BLDG
City Of The Provider CLEVELAND
Zip Code Of The Provider 441115805
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 8
Number Of Services 251
Number Of Medicare Beneficiaries 95
Total Submitted Charge Amount 37756
Total Medicare Allowed Amount 19119.73
Total Medicare Payment Amount 12701.6
Total Medicare Standardized Payment Amount 12956.97
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 8
Number Of Medical Services 251
Number Of Medicare Beneficiaries With Medical Services 95
Total Medical Submitted Charge Amount 37756
Total Medical Medicare Allowed Amount 19119.73
Total Medical Medicare Payment Amount 12701.6
Total Medical Medicare Standardized Payment Amount 12956.97
Average Age Of Beneficiaries 62
Number Of Beneficiaries Age Less65 47
Number Of Beneficiaries Age 65 to 74 34
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 77
Number Of Male Beneficiaries 18
Number Of Non Hispanic White Beneficiaries 84
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 47
Number Of Beneficiaries With Medicare Medicaid Entitlement 48
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 35
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1779

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