Medicare Facts for Martine Banda-Wolk, APNP


National Provider Identifier [NPI]: 1124029608
Last Name Of The Provider BANDA-WOLK
First Name Of The Provider MARTINE
Middle Initial Of The Provider
Credentials Of The Provider APNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 301 E 2ND ST
Street Address 2 Of The Provider
City Of The Provider RICHLAND CENTER
Zip Code Of The Provider 535811900
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 114
Number Of Services 1930
Number Of Medicare Beneficiaries 199
Total Submitted Charge Amount 197231.74
Total Medicare Allowed Amount 54276.26
Total Medicare Payment Amount 40557.14
Total Medicare Standardized Payment Amount 47893.86
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 234
Number Of Medicare Beneficiaries With Drug Services 42
Total Drug Submitted ChargeAmount 2710.57
Total Drug Medicare AllowedAmount 1675.25
Total Drug Medicare PaymentAmount 1614.3
Total Drug Medicare Standardized Payment Amount 1614.3
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 106
Number Of Medical Services 1696
Number Of Medicare Beneficiaries With Medical Services 199
Total Medical Submitted Charge Amount 194521.17
Total Medical Medicare Allowed Amount 52601.01
Total Medical Medicare Payment Amount 38942.84
Total Medical Medicare Standardized Payment Amount 46279.56
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 38
Number Of Beneficiaries Age 65 to 74 65
Number Of Beneficiaries Age 75 to 84 48
Number Of Beneficiaries Age Greater 84 48
Number Of Female Beneficiaries 146
Number Of Male Beneficiaries 53
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 127
Number Of Beneficiaries With Medicare Medicaid Entitlement 72
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 17
Percent Of With Asthma 12
Percent Of With Cancer 8
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 32
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 45
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 15
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2238

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