Lisa Jo Liedke

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NPI Number Detailed Information

Provider Information:

Name:	Lisa Jo Liedke
Gender:	F
Provider License Number If Given:	9728

NPI Information:

NPI:	1336783042
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	11/5/2019
Last Update Date:	10/7/2022

Provider Business Mailing Address:

Address:	3301 W FOREST HOME AVE Milwaukee, WI 53215
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address:	210 WISCONSIN AMERICAN DR Fond Du Lac, WI 54937
Phone Number:	9209077000
Fax Number:

Provider Taxonomy:

Primary:	363LX0106X
Secondary (if any):	363L00000X
State:	WI

Top Doctors in WI

About Lisa Jo Liedke

Lisa Jo Liedke ( LISA JO LIEDKE ) is Definition Nurse Practitioner Physician in Fond Du Lac, WI. The NPI Number for Lisa Jo Liedke is 1336783042.

The current location address for Lisa Jo Liedke is 210 WISCONSIN AMERICAN DR Fond Du Lac, WI 54937 and the contact number is and fax number is . The mailing address for Lisa Jo Liedke is 3301 W FOREST HOME AVE Milwaukee, WI 53215- 9209077000 (mailing address contact number - ).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Lisa Jo Liedke ?

Answer: The NPI Number for Lisa Jo Liedke is 1336783042

Where is Lisa Jo Liedke located?

Answer: Lisa Jo Liedke is located at 210 WISCONSIN AMERICAN DR Fond Du Lac, WI 54937.

What is the specialty for Lisa Jo Liedke ?

Answer: The Specialty of Lisa Jo Liedke is Definition Nurse Practitioner Physician.

Are there any online reviews for Lisa Jo Liedke ?

Answer: Not yet!

Are there any other health care providers in Fond Du Lac, 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 Lisa Jo Liedke

Number of HCPCS	18
Number of Medicare Beneficiaries	21
Number of Services	75
Total Submitted Charge Amount	11618
Total Medicare Allowed Amount	3753.99
Total Medicare Payment Amount	2864.37
Total Medicare Standardized Payment Amount	2946.88
Drug Suppress Indicator	*
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator	#
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries	62
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma	0
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis	0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0
Average HCC Risk Score of Beneficiaries	1.245

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	750
Number of Standardized 30-Day Fills	1200.4
Aggregate Cost Paid for All Claims	65967.96
Number of Day's Supply for All Claims	32861
Number of Medicare Beneficiaries	130
Number of Claims, Including Refills, for Beneficiaries Age 65+	308
Including Refills, for Beneficiaries Age 65+	626.06666667
Beneficiaries Age 65+	22447.92
Number of Day's Supply for All Claims for Beneficaries Age 65+	17628
Number of Medicare Beneficiaries Age 65+	73
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	#
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	642
Aggregate Cost Paid for Generic Drugs	10926.38
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	*
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	466
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	33869.08
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	284
Aggregate Cost Paid for Claims Filled by	32098.88
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	555
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	58834.66
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	195
by Low-Income Subsidy	7133.3
Total Claims of Opioid Drugs, Including	20
Aggregate Cost Paid for Opioid Drugs	144.26
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms	2.6666666667
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
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	29
Aggregate Cost Paid for Antibiotic Drugs	170.85
Antibiotic Claims	22
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	62.830769231
Number of Beneficiaries Age Less Than 65	57
Number of Beneficiaries Age 65 to 74	59
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	82
Number of Male Beneficiaries	48
Number of Non-Hispanic White	106
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement	60
Average Hierarchical Condition Category	1.4883744195

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