Medicare Facts for Dr. Michael R. Wagner, DC


National Provider Identifier [NPI]: 1740283183
Last Name Of The Provider WAGNER
First Name Of The Provider MICHAEL
Middle Initial Of The Provider R
Credentials Of The Provider D.C.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider N9654 COUNTY TRUNK N
Street Address 2 Of The Provider STE 3
City Of The Provider APPLETON
Zip Code Of The Provider 549157272
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Chiropractic
Medicare Participation Indicator Y
Number Of HCPCS 2
Number Of Services 378
Number Of Medicare Beneficiaries 41
Total Submitted Charge Amount 21936
Total Medicare Allowed Amount 14389.47
Total Medicare Payment Amount 10331.23
Total Medicare Standardized Payment Amount 10729.7
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 2
Number Of Medical Services 378
Number Of Medicare Beneficiaries With Medical Services 41
Total Medical Submitted Charge Amount 21936
Total Medical Medicare Allowed Amount 14389.47
Total Medical Medicare Payment Amount 10331.23
Total Medical Medicare Standardized Payment Amount 10729.7
Average Age Of Beneficiaries 65
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 24
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 19
Number Of Male Beneficiaries 22
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
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
Percent Of With Diabetes
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 44
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.6423

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