Medicare Facts for Michelle Dawiczyk, PA-C


National Provider Identifier [NPI]: 1942550058
Last Name Of The Provider DAWICZYK
First Name Of The Provider MICHELLE
Middle Initial Of The Provider
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 34 PROFFESSIONAL PARK RD
Street Address 2 Of The Provider
City Of The Provider STORRS
Zip Code Of The Provider 062681659
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 113
Number Of Medicare Beneficiaries 49
Total Submitted Charge Amount 8195
Total Medicare Allowed Amount 4905.4
Total Medicare Payment Amount 2844.56
Total Medicare Standardized Payment Amount 3204.68
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 11
Number Of Medical Services 113
Number Of Medicare Beneficiaries With Medical Services 49
Total Medical Submitted Charge Amount 8195
Total Medical Medicare Allowed Amount 4905.4
Total Medical Medicare Payment Amount 2844.56
Total Medical Medicare Standardized Payment Amount 3204.68
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 21
Number Of Beneficiaries Age 75 to 84 13
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 21
Number Of Male Beneficiaries 28
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 22
Percent Of With Alzheimers Disease or Dementia
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 27
Percent Of With Hyperlipidemia 33
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9306

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