Medicare Facts for Carol J. Kuisle, LICSW


National Provider Identifier [NPI]: 1316388176
Last Name Of The Provider KUISLE
First Name Of The Provider CAROL
Middle Initial Of The Provider J
Credentials Of The Provider LICSW
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1301 MARSHALL ST
Street Address 2 Of The Provider
City Of The Provider SAINT PETER
Zip Code Of The Provider 560824500
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 5
Number Of Services 46
Number Of Medicare Beneficiaries 11
Total Submitted Charge Amount 7035
Total Medicare Allowed Amount 4082.87
Total Medicare Payment Amount 3028.3
Total Medicare Standardized Payment Amount 3091.54
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 5
Number Of Medical Services 46
Number Of Medicare Beneficiaries With Medical Services 11
Total Medical Submitted Charge Amount 7035
Total Medical Medicare Allowed Amount 4082.87
Total Medical Medicare Payment Amount 3028.3
Total Medical Medicare Standardized Payment Amount 3091.54
Average Age Of Beneficiaries 59
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 0
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 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia 0
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
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.7355

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