Medicare Facts for Dr. Theresa Maicke, MD


National Provider Identifier [NPI]: 1235197567
Last Name Of The Provider MAICKE
First Name Of The Provider THERESA
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 801 S WASHINGTON ST
Street Address 2 Of The Provider
City Of The Provider NAPERVILLE
Zip Code Of The Provider 605407430
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiology
Medicare Participation Indicator Y
Number Of HCPCS 48
Number Of Services 163
Number Of Medicare Beneficiaries 148
Total Submitted Charge Amount 260300
Total Medicare Allowed Amount 38334.49
Total Medicare Payment Amount 29922.75
Total Medicare Standardized Payment Amount 27693.38
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 48
Number Of Medical Services 163
Number Of Medicare Beneficiaries With Medical Services 148
Total Medical Submitted Charge Amount 260300
Total Medical Medicare Allowed Amount 38334.49
Total Medical Medicare Payment Amount 29922.75
Total Medical Medicare Standardized Payment Amount 27693.38
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 72
Number Of Beneficiaries Age 75 to 84 37
Number Of Beneficiaries Age Greater 84 13
Number Of Female Beneficiaries 92
Number Of Male Beneficiaries 56
Number Of Non Hispanic White Beneficiaries 131
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 124
Number Of Beneficiaries With Medicare Medicaid Entitlement 24
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 11
Percent Of With Cancer 20
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 32
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3393

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