Medicare Facts for Michael S. Sisson, NP


National Provider Identifier [NPI]: 1700813284
Last Name Of The Provider SISSON
First Name Of The Provider MICHAEL
Middle Initial Of The Provider S
Credentials Of The Provider N.P.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider NORTHBAY MEDICAL CENTER
Street Address 2 Of The Provider 1200 B GALE WILSON BLVD
City Of The Provider FAIRFIELD
Zip Code Of The Provider 94533
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 19
Number Of Services 437
Number Of Medicare Beneficiaries 279
Total Submitted Charge Amount 282198
Total Medicare Allowed Amount 38917.34
Total Medicare Payment Amount 28748.49
Total Medicare Standardized Payment Amount 32184.12
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 19
Number Of Medical Services 437
Number Of Medicare Beneficiaries With Medical Services 279
Total Medical Submitted Charge Amount 282198
Total Medical Medicare Allowed Amount 38917.34
Total Medical Medicare Payment Amount 28748.49
Total Medical Medicare Standardized Payment Amount 32184.12
Average Age Of Beneficiaries 65
Number Of Beneficiaries Age Less65 109
Number Of Beneficiaries Age 65 to 74 75
Number Of Beneficiaries Age 75 to 84 52
Number Of Beneficiaries Age Greater 84 43
Number Of Female Beneficiaries 156
Number Of Male Beneficiaries 123
Number Of Non Hispanic White Beneficiaries 139
Number Of Black or African American Beneficiaries 88
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 33
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 132
Number Of Beneficiaries With Medicare Medicaid Entitlement 147
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 19
Percent Of With Asthma 13
Percent Of With Cancer 10
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 46
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 34
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 13
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.9697

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