Medicare Facts for Tammy D. Wickliffe, PA-C


National Provider Identifier [NPI]: 1164495651
Last Name Of The Provider WICKLIFFE
First Name Of The Provider TAMMY
Middle Initial Of The Provider D
Credentials Of The Provider PA - C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 9175 W OQUENDO RD
Street Address 2 Of The Provider
City Of The Provider LAS VEGAS
Zip Code Of The Provider 891481234
State Code Of The Provider NV
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 3347
Number Of Medicare Beneficiaries 289
Total Submitted Charge Amount 487108
Total Medicare Allowed Amount 248632.66
Total Medicare Payment Amount 192675.84
Total Medicare Standardized Payment Amount 223133.49
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 14
Number Of Medical Services 3347
Number Of Medicare Beneficiaries With Medical Services 289
Total Medical Submitted Charge Amount 487108
Total Medical Medicare Allowed Amount 248632.66
Total Medical Medicare Payment Amount 192675.84
Total Medical Medicare Standardized Payment Amount 223133.49
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 53
Number Of Beneficiaries Age 65 to 74 86
Number Of Beneficiaries Age 75 to 84 89
Number Of Beneficiaries Age Greater 84 61
Number Of Female Beneficiaries 159
Number Of Male Beneficiaries 130
Number Of Non Hispanic White Beneficiaries 191
Number Of Black or African American Beneficiaries 56
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 26
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 122
Number Of Beneficiaries With Medicare Medicaid Entitlement 167
Percent Of With Atrial Fibrillation 24
Percent Of With Alzheimers Disease or Dementia 61
Percent Of With Asthma 10
Percent Of With Cancer 7
Percent Of With Heart Failure 49
Percent Of With Chronic Kidney Disease 59
Percent Of With Chronic Obstructive Pulmonary Disease 41
Percent Of With Depression 54
Percent Of With Diabetes 55
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 55
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 49
Percent Of With Schizophrenia Other PsychoticDisorders 44
Percent Of With Stroke 20
Average HCC Risk Score Of Beneficiaries 3.0891

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