Medicare Facts for Dr. Thomas J. Wilson, MD


National Provider Identifier [NPI]: 1174560213
Last Name Of The Provider WILSON
First Name Of The Provider THOMAS
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 10025 NE 186TH ST
Street Address 2 Of The Provider
City Of The Provider BOTHELL
Zip Code Of The Provider 980113839
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 78
Number Of Services 1093
Number Of Medicare Beneficiaries 136
Total Submitted Charge Amount 77537
Total Medicare Allowed Amount 42279.51
Total Medicare Payment Amount 30005.4
Total Medicare Standardized Payment Amount 29865.94
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 32
Number Of Medicare Beneficiaries With Drug Services 29
Total Drug Submitted ChargeAmount 1542
Total Drug Medicare AllowedAmount 1163.67
Total Drug Medicare PaymentAmount 1140.24
Total Drug Medicare Standardized Payment Amount 1140.24
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 75
Number Of Medical Services 1061
Number Of Medicare Beneficiaries With Medical Services 136
Total Medical Submitted Charge Amount 75995
Total Medical Medicare Allowed Amount 41115.84
Total Medical Medicare Payment Amount 28865.16
Total Medical Medicare Standardized Payment Amount 28725.7
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 74
Number Of Beneficiaries Age 75 to 84 37
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 52
Number Of Male Beneficiaries 84
Number Of Non Hispanic White Beneficiaries 124
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
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 120
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 9
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 11
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 35
Percent Of With Hypertension 46
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 26
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.908

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