National Provider Identifier [NPI]: |
1669591640 |
Last Name Of The Provider |
FRANKOWSKI |
First Name Of The Provider |
WIESLAW |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3201 S 16TH ST |
Street Address 2 Of The Provider |
SUITE 1000 |
City Of The Provider |
MILWAUKEE |
Zip Code Of The Provider |
532154537 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
2784 |
Number Of Medicare Beneficiaries |
424 |
Total Submitted Charge Amount |
424037 |
Total Medicare Allowed Amount |
214648.73 |
Total Medicare Payment Amount |
158423.04 |
Total Medicare Standardized Payment Amount |
165291.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
109 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
3090 |
Total Drug Medicare AllowedAmount |
2822.63 |
Total Drug Medicare PaymentAmount |
2737.88 |
Total Drug Medicare Standardized Payment Amount |
2737.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
2675 |
Number Of Medicare Beneficiaries With Medical Services |
424 |
Total Medical Submitted Charge Amount |
420947 |
Total Medical Medicare Allowed Amount |
211826.1 |
Total Medical Medicare Payment Amount |
155685.16 |
Total Medical Medicare Standardized Payment Amount |
162553.85 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
105 |
Number Of Beneficiaries Age 75 to 84 |
130 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
267 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
382 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
250 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7718 |