Medicare Facts for Seona T. Lisse, PA


National Provider Identifier [NPI]: 1427034669
Last Name Of The Provider LISSE
First Name Of The Provider SEONA
Middle Initial Of The Provider T
Credentials Of The Provider P.A.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 5255 LOUGHBORO RD NW
Street Address 2 Of The Provider
City Of The Provider WASHINGTON
Zip Code Of The Provider 200162695
State Code Of The Provider DC
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 40
Number Of Medicare Beneficiaries 33
Total Submitted Charge Amount 20965
Total Medicare Allowed Amount 3296.39
Total Medicare Payment Amount 2407.22
Total Medicare Standardized Payment Amount 2599.06
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 9
Number Of Medical Services 40
Number Of Medicare Beneficiaries With Medical Services 33
Total Medical Submitted Charge Amount 20965
Total Medical Medicare Allowed Amount 3296.39
Total Medical Medicare Payment Amount 2407.22
Total Medical Medicare Standardized Payment Amount 2599.06
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 11
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 19
Number Of Male Beneficiaries 14
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 15
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 21
Number Of Beneficiaries With Medicare Medicaid Entitlement 12
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 33
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 55
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2144

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