Medicare Facts for Dr. Denise D. Wallis, MD


National Provider Identifier [NPI]: 1386733863
Last Name Of The Provider WALLIS
First Name Of The Provider DENISE
Middle Initial Of The Provider D
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 9715 LIBERIA AVE
Street Address 2 Of The Provider
City Of The Provider MANASSAS
Zip Code Of The Provider 201105837
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 56
Number Of Services 635
Number Of Medicare Beneficiaries 231
Total Submitted Charge Amount 61786.5
Total Medicare Allowed Amount 26923.53
Total Medicare Payment Amount 18101.82
Total Medicare Standardized Payment Amount 18838.75
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 12
Number Of Medicare Beneficiaries With Drug Services 12
Total Drug Submitted ChargeAmount 232
Total Drug Medicare AllowedAmount 99.72
Total Drug Medicare PaymentAmount 88.63
Total Drug Medicare Standardized Payment Amount 88.63
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 53
Number Of Medical Services 623
Number Of Medicare Beneficiaries With Medical Services 231
Total Medical Submitted Charge Amount 61554.5
Total Medical Medicare Allowed Amount 26823.81
Total Medical Medicare Payment Amount 18013.19
Total Medical Medicare Standardized Payment Amount 18750.12
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 130
Number Of Beneficiaries Age 75 to 84 60
Number Of Beneficiaries Age Greater 84 17
Number Of Female Beneficiaries 153
Number Of Male Beneficiaries 78
Number Of Non Hispanic White Beneficiaries 164
Number Of Black or African American Beneficiaries 27
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 20
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 209
Number Of Beneficiaries With Medicare Medicaid Entitlement 22
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 12
Percent Of With Cancer
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 13
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9535

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