Mrs. Doris U Theune

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NPI Number Detailed Information

Provider Information:

Name:	Mrs. Doris U Theune
Gender:	F
Provider License Number If Given:	249033

NPI Information:

NPI:	1023086402
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	3/10/2006
Last Update Date:	1/4/2022

Provider Business Mailing Address:

Address:	2920 SUPERIOR AVE Sheboygan, WI 53081
Phone Number:	9204535414
Fax Number:	9208032990

Provider Business Practice Location Address:

Address:	2920 SUPERIOR AVE Sheboygan, WI 53081
Phone Number:	9204535414
Fax Number:	9208032990

Provider Taxonomy:

Primary:	363LG0600X
Secondary (if any):
State:	WI

Top Doctors in WI

About Mrs. Doris U Theune

Mrs. Doris U Theune (MRS. DORIS U THEUNE ) is Definition Nurse Practitioner Physician in Sheboygan, WI. The NPI Number for Mrs. Doris U Theune is 1023086402.

The current location address for Mrs. Doris U Theune is 2920 SUPERIOR AVE Sheboygan, WI 53081 and the contact number is 9204535414 and fax number is 9208032990. The mailing address for Mrs. Doris U Theune is 2920 SUPERIOR AVE Sheboygan, WI 53081- 9204535414 (mailing address contact number - 9204535414).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mrs. Doris U Theune ?

Answer: The NPI Number for Mrs. Doris U Theune is 1023086402

Where is Mrs. Doris U Theune located?

Answer: Mrs. Doris U Theune is located at 2920 SUPERIOR AVE Sheboygan, WI 53081.

What is the specialty for Mrs. Doris U Theune ?

Answer: The Specialty of Mrs. Doris U Theune is Definition Nurse Practitioner Physician.

Are there any online reviews for Mrs. Doris U Theune ?

Answer: Not yet!

Are there any other health care providers in Sheboygan, 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 Mrs. Doris U Theune

Number of HCPCS	19
Number of Medicare Beneficiaries	120
Number of Services	506
Total Submitted Charge Amount	142073
Total Medicare Allowed Amount	44503.43
Total Medicare Payment Amount	32908.47
Total Medicare Standardized Payment Amount	34045.6
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	19
Number of Medicare Beneficiaries With Medical	120
Number of Medical Services	506
Total Medical Submitted Charge Amount	142073
Total Medical Medicare Allowed Amount	44503.43
Total Medical Medicare Payment Amount	32908.47
Total Medical Medicare Standardized Payment Amount	34045.6
Average Age of Beneficiaries	84
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84	28
Number of Beneficiaries Age Greater 84	66
Number of Female Beneficiaries	84
Number of Male Beneficiaries	36
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
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	55
Number of Beneficiaries With Medicare Only Entitlement	65
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.23
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.57
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer	0.13
Percent (%) of Beneficiaries Identified With Heart Failure	0.34
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.52
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.16
Percent (%) of Beneficiaries Identified With Depression	0.48
Percent (%) of Beneficiaries Identified With Diabetes	0.32
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.51
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.38
Percent (%) of Beneficiaries Identified With Osteoporosis	0.23
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.43
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.09
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	2.3145

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	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	2520
Number of Standardized 30-Day Fills	3124.9666667
Aggregate Cost Paid for All Claims	118961.49
Number of Day's Supply for All Claims	78854
Number of Medicare Beneficiaries	293
Number of Claims, Including Refills, for Beneficiaries Age 65+	2442
Including Refills, for Beneficiaries Age 65+	3017.8
Beneficiaries Age 65+	116574.44
Number of Day's Supply for All Claims for Beneficaries Age 65+	75928
Number of Medicare Beneficiaries Age 65+	273
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	387
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	2122
Aggregate Cost Paid for Generic Drugs	38633.2
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	11
Aggregate Cost Paid for Other Drugs	797.78
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	1435
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	52049.02
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	1085
Aggregate Cost Paid for Claims Filled by	66912.47
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1004
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	52566.43
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	1516
by Low-Income Subsidy	66395.06
Total Claims of Opioid Drugs, Including	108
Aggregate Cost Paid for Opioid Drugs	2214.39
Opioid Claims	39
Opioid_Tot_Clms divided by the Tot_Clms	4.2857142857
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	66
Aggregate Cost Paid for Antibiotic Drugs	1997.72
Antibiotic Claims	33
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	59
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	929.42
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	13
Average Age of Beneficiaries	80.341296928
Number of Beneficiaries Age Less Than 65	20
Number of Beneficiaries Age 65 to 74	72
Number of Beneficiaries Age 75 to 84	79
Number of Female Beneficiaries	180
Number of Male Beneficiaries	113
Number of Non-Hispanic White	276
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not	14
Only Entitlement	206
Average Hierarchical Condition Category	1.9109393774

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