Medicare Facts for Kathleen Cheslok


National Provider Identifier [NPI]: 1235256785
Last Name Of The Provider CHESLOK
First Name Of The Provider KATHLEEN
Middle Initial Of The Provider
Credentials Of The Provider
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 24 STEVENS ST
Street Address 2 Of The Provider
City Of The Provider NORWALK
Zip Code Of The Provider 068503852
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 625
Number Of Medicare Beneficiaries 57
Total Submitted Charge Amount 86661
Total Medicare Allowed Amount 28280.47
Total Medicare Payment Amount 20995.34
Total Medicare Standardized Payment Amount 20114.25
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 4
Number Of Medical Services 625
Number Of Medicare Beneficiaries With Medical Services 57
Total Medical Submitted Charge Amount 86661
Total Medical Medicare Allowed Amount 28280.47
Total Medical Medicare Payment Amount 20995.34
Total Medical Medicare Standardized Payment Amount 20114.25
Average Age Of Beneficiaries 54
Number Of Beneficiaries Age Less65 41
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 38
Number Of Male Beneficiaries 19
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 11
Number Of Beneficiaries With Medicare Medicaid Entitlement 46
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 58
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 25
Percent Of With Hypertension 26
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 40
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.1301

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