Medicare Facts for Tasha L. Williams, MSW


National Provider Identifier [NPI]: 1467499780
Last Name Of The Provider WILLIAMS
First Name Of The Provider TASHA
Middle Initial Of The Provider H
Credentials Of The Provider PH.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 11104 PARKVIEW CIRCLE DR
Street Address 2 Of The Provider STE 110
City Of The Provider FORT WAYNE
Zip Code Of The Provider 468451730
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Clinical Psychologist
Medicare Participation Indicator Y
Number Of HCPCS 7
Number Of Services 230
Number Of Medicare Beneficiaries 60
Total Submitted Charge Amount 46120
Total Medicare Allowed Amount 20778.96
Total Medicare Payment Amount 14981.57
Total Medicare Standardized Payment Amount 11077.93
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 7
Number Of Medical Services 230
Number Of Medicare Beneficiaries With Medical Services 60
Total Medical Submitted Charge Amount 46120
Total Medical Medicare Allowed Amount 20778.96
Total Medical Medicare Payment Amount 14981.57
Total Medical Medicare Standardized Payment Amount 11077.93
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 13
Number Of Beneficiaries Age 65 to 74 17
Number Of Beneficiaries Age 75 to 84 17
Number Of Beneficiaries Age Greater 84 13
Number Of Female Beneficiaries 42
Number Of Male Beneficiaries 18
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 46
Number Of Beneficiaries With Medicare Medicaid Entitlement 14
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 68
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 50
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 18
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.4478

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