Medicare Facts for Dr. Sema J. Fofung, MD


National Provider Identifier [NPI]: 1922155563
Last Name Of The Provider FOFUNG
First Name Of The Provider SEMA
Middle Initial Of The Provider J
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 735 SOUTH SHOOP AVENUE
Street Address 2 Of The Provider SUITE 3
City Of The Provider WAUSEON
Zip Code Of The Provider 43567
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Obstetrics/Gynecology
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 60
Number Of Medicare Beneficiaries 30
Total Submitted Charge Amount 45274
Total Medicare Allowed Amount 9962.05
Total Medicare Payment Amount 7687.19
Total Medicare Standardized Payment Amount 7836.19
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 14
Number Of Medical Services 60
Number Of Medicare Beneficiaries With Medical Services 30
Total Medical Submitted Charge Amount 45274
Total Medical Medicare Allowed Amount 9962.05
Total Medical Medicare Payment Amount 7687.19
Total Medical Medicare Standardized Payment Amount 7836.19
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 16
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 30
Number Of Male Beneficiaries 0
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 43
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.8308

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