Medicare Facts for Adam B. Klarkowski, PT


National Provider Identifier [NPI]: 1063485258
Last Name Of The Provider KLARKOWSKI
First Name Of The Provider ADAM
Middle Initial Of The Provider B
Credentials Of The Provider PT
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1212 MEMORIAL DR
Street Address 2 Of The Provider STE 1
City Of The Provider MANITOWOC
Zip Code Of The Provider 542202247
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 7
Number Of Services 512
Number Of Medicare Beneficiaries 26
Total Submitted Charge Amount 49060.31
Total Medicare Allowed Amount 13185.74
Total Medicare Payment Amount 9942.92
Total Medicare Standardized Payment Amount 8231.8
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 7
Number Of Medical Services 512
Number Of Medicare Beneficiaries With Medical Services 26
Total Medical Submitted Charge Amount 49060.31
Total Medical Medicare Allowed Amount 13185.74
Total Medical Medicare Payment Amount 9942.92
Total Medical Medicare Standardized Payment Amount 8231.8
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 13
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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 26
Number Of Beneficiaries With Medicare Medicaid Entitlement 0
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 0
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis 69
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.0202

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