Medicare Facts for Daniel M. King, LISW


National Provider Identifier [NPI]: 1629124805
Last Name Of The Provider KING
First Name Of The Provider DANIEL
Middle Initial Of The Provider M
Credentials Of The Provider LISW
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 300 W WALLACE ST
Street Address 2 Of The Provider A1
City Of The Provider FINDLAY
Zip Code Of The Provider 458401242
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 372
Number Of Medicare Beneficiaries 28
Total Submitted Charge Amount 39670
Total Medicare Allowed Amount 24273.72
Total Medicare Payment Amount 16804.6
Total Medicare Standardized Payment Amount 18912.67
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 4
Number Of Medical Services 372
Number Of Medicare Beneficiaries With Medical Services 28
Total Medical Submitted Charge Amount 39670
Total Medical Medicare Allowed Amount 24273.72
Total Medical Medicare Payment Amount 16804.6
Total Medical Medicare Standardized Payment Amount 18912.67
Average Age Of Beneficiaries 62
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 14
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 16
Number Of Male Beneficiaries 12
Number Of Non Hispanic White Beneficiaries 28
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
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
Percent Of With Alzheimers Disease or Dementia 0
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 75
Percent Of With Diabetes
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2992

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