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Dr. Alan P. Gegenheimer

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NPI Number Detailed Information

Provider Information:

Name: Dr. Alan P. Gegenheimer
Gender: M
Provider License Number If Given: 036-099781

NPI Information:

NPI: 1730119561
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/4/2006

Last Update Date: 8/9/2016

Reputation Report:

Provider Business Mailing Address:

Address: 6308 8TH AVE ATTN: MEDICAL STAFF OFFICE
Kenosha, WI 53143
Phone Number: 2626563313
Fax Number: 2626535850

Provider Business Practice Location Address:

Address: 9697 SAINT CATHERINES DR SUITE 200
Pleasant Prairie, WI 53158
Phone Number: 2626563590
Fax Number: 2626563591

Provider Taxonomy:

Primary: 207X00000X
Secondary (if any):
State: WI

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About Dr. Alan P. Gegenheimer

Dr. Alan P. Gegenheimer (DR. ALAN P. GEGENHEIMER ) is An Orthopaedic Surgery Physician in Pleasant Prairie, WI. The NPI Number for Dr. Alan P. Gegenheimer is 1730119561.
The current location address for Dr. Alan P. Gegenheimer is 9697 SAINT CATHERINES DR SUITE 200 Pleasant Prairie, WI 53158 and the contact number is 2626563313 and fax number is 2626535850. The mailing address for Dr. Alan P. Gegenheimer is 6308 8TH AVE ATTN: MEDICAL STAFF OFFICE Kenosha, WI 53143- 2626563590 (mailing address contact number - 2626563313).
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Alan P. Gegenheimer ?


Answer: The NPI Number for Dr. Alan P. Gegenheimer is 1730119561

Where is Dr. Alan P. Gegenheimer located?


Answer: Dr. Alan P. Gegenheimer is located at 9697 SAINT CATHERINES DR SUITE 200 Pleasant Prairie, WI 53158.

What is the specialty for Dr. Alan P. Gegenheimer ?


Answer: The Specialty of Dr. Alan P. Gegenheimer is An Orthopaedic Surgery Physician.

Are there any online reviews for Dr. Alan P. Gegenheimer ?


Answer: Yes! Check It Now.

Are there any other health care providers in Pleasant Prairie, WI?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Alan P. Gegenheimer

Number of HCPCS 86
Number of Medicare Beneficiaries 297
Number of Services 1574
Total Submitted Charge Amount 981812.75
Total Medicare Allowed Amount 162376.32
Total Medicare Payment Amount 126616.26
Total Medicare Standardized Payment Amount 132340.4
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 5
Number of Medicare Beneficiaries With Drug Services 75
Number of Drug Services 587
Total Drug Submitted Charge Amount 66257
Total Drug Medicare Allowed Amount 33428.44
Total Drug Medicare Payment Amount 26613.98
Total Drug Medicare Standardized Payment Amount 26086.04
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 81
Number of Medicare Beneficiaries With Medical 297
Number of Medical Services 987
Total Medical Submitted Charge Amount 915555.75
Total Medical Medicare Allowed Amount 128947.88
Total Medical Medicare Payment Amount 100002.28
Total Medical Medicare Standardized Payment Amount 106254.36
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 44
Number of Beneficiaries Age 65 to 74 128
Number of Beneficiaries Age 75 to 84 77
Number of Beneficiaries Age Greater 84 48
Number of Female Beneficiaries 185
Number of Male Beneficiaries 112
Number of Non-Hispanic White Beneficiaries 257
Number of Black or African American Beneficiaries 17
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 63
Number of Beneficiaries With Medicare Only Entitlement 234
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.12
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.13
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.08
Percent (%) of Beneficiaries Identified With Heart Failure 0.14
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.21
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.13
Percent (%) of Beneficiaries Identified With Depression 0.26
Percent (%) of Beneficiaries Identified With Diabetes 0.25
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.49
Percent (%) of Beneficiaries Identified With Hypertension 0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.24
Percent (%) of Beneficiaries Identified With Osteoporosis 0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.68
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 1.0477

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Orthopedic Surgery
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 130
Number of Standardized 30-Day Fills 138.23333333
Aggregate Cost Paid for All Claims 1446.46
Number of Day's Supply for All Claims 1451
Number of Medicare Beneficiaries 85
Number of Claims, Including Refills, for Beneficiaries Age 65+ 91
Including Refills, for Beneficiaries Age 65+ 99.233333333
Beneficiaries Age 65+ 1198.33
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1181
Number of Medicare Beneficiaries Age 65+ 60
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 130
Aggregate Cost Paid for Generic Drugs 1446.46
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 63
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 430.71
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 67
Aggregate Cost Paid for Claims Filled by 1015.75
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 35
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 252.56
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 95
by Low-Income Subsidy 1193.9
Total Claims of Opioid Drugs, Including 47
Aggregate Cost Paid for Opioid Drugs 424.84
Opioid Claims 34
Opioid_Tot_Clms divided by the Tot_Clms 36.153846154
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 21
Aggregate Cost Paid for Antibiotic Drugs 138.04
Antibiotic Claims 13
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 68.470588235
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 29
Number of Beneficiaries Age 75 to 84 28
Number of Female Beneficiaries 51
Number of Male Beneficiaries 34
Number of Non-Hispanic White 71
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 59
Average Hierarchical Condition Category 1.2085813725

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