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Mark R Fitzsimmons

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NPI Number Detailed Information

Provider Information:

Name: Mark R Fitzsimmons
Gender: M
Provider License Number If Given: 33627

NPI Information:

NPI: 1639284706
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/20/2006

Last Update Date: 11/18/2021

Reputation Report:

Provider Business Mailing Address:

Address: 3003 W GOOD HOPE RD
Milwaukee, WI 53209
Phone Number: 4143523100
Fax Number:

Provider Business Practice Location Address:

Address: 1475 W GRAND AVE
Port Washington, WI 53074
Phone Number: 2622685100
Fax Number: 2622685118

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: WI

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About Mark R Fitzsimmons

Mark R Fitzsimmons ( MARK R FITZSIMMONS ) is Family Family Medicine Physician in Port Washington, WI. The NPI Number for Mark R Fitzsimmons is 1639284706.
The current location address for Mark R Fitzsimmons is 1475 W GRAND AVE Port Washington, WI 53074 and the contact number is 4143523100 and fax number is . The mailing address for Mark R Fitzsimmons is 3003 W GOOD HOPE RD Milwaukee, WI 53209- 2622685100 (mailing address contact number - 4143523100).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mark R Fitzsimmons ?


Answer: The NPI Number for Mark R Fitzsimmons is 1639284706

Where is Mark R Fitzsimmons located?


Answer: Mark R Fitzsimmons is located at 1475 W GRAND AVE Port Washington, WI 53074.

What is the specialty for Mark R Fitzsimmons ?


Answer: The Specialty of Mark R Fitzsimmons is Family Family Medicine Physician.

Are there any online reviews for Mark R Fitzsimmons ?


Answer: Yes! Check It Now.

Are there any other health care providers in Port Washington, 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 Mark R Fitzsimmons

Number of HCPCS 42
Number of Medicare Beneficiaries 249
Number of Services 1004
Total Submitted Charge Amount 338748
Total Medicare Allowed Amount 100729.9
Total Medicare Payment Amount 79761.61
Total Medicare Standardized Payment Amount 82999.64
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 6
Number of Medicare Beneficiaries With Drug Services 93
Number of Drug Services 121
Total Drug Submitted Charge Amount 10716
Total Drug Medicare Allowed Amount 6430.21
Total Drug Medicare Payment Amount 6424.34
Total Drug Medicare Standardized Payment Amount 6486.68
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 36
Number of Medicare Beneficiaries With Medical 248
Number of Medical Services 883
Total Medical Submitted Charge Amount 328032
Total Medical Medicare Allowed Amount 94299.69
Total Medical Medicare Payment Amount 73337.27
Total Medical Medicare Standardized Payment Amount 76512.96
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 24
Number of Beneficiaries Age 65 to 74 108
Number of Beneficiaries Age 75 to 84 75
Number of Beneficiaries Age Greater 84 42
Number of Female Beneficiaries 120
Number of Male Beneficiaries 129
Number of Non-Hispanic White Beneficiaries 232
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 34
Number of Beneficiaries With Medicare Only Entitlement 215
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.15
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.13
Percent (%) of Beneficiaries Identified With Heart Failure 0.2
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.39
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.13
Percent (%) of Beneficiaries Identified With Depression 0.28
Percent (%) of Beneficiaries Identified With Diabetes 0.28
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.57
Percent (%) of Beneficiaries Identified With Hypertension 0.56
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.34
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.36
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.3547

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 Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 6824
Number of Standardized 30-Day Fills 16009.166667
Aggregate Cost Paid for All Claims 524316.53
Number of Day's Supply for All Claims 466575
Number of Medicare Beneficiaries 418
Number of Claims, Including Refills, for Beneficiaries Age 65+ 6249
Including Refills, for Beneficiaries Age 65+ 14977.933333
Beneficiaries Age 65+ 473577.71
Number of Day's Supply for All Claims for Beneficaries Age 65+ 437257
Number of Medicare Beneficiaries Age 65+ 384
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 776
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 6008
Aggregate Cost Paid for Generic Drugs 126820.39
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 40
Aggregate Cost Paid for Other Drugs 1983.29
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 4513
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 369497.6
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2311
Aggregate Cost Paid for Claims Filled by 154818.93
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1443
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 112516.59
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 5381
by Low-Income Subsidy 411799.94
Total Claims of Opioid Drugs, Including 57
Aggregate Cost Paid for Opioid Drugs 2433.74
Opioid Claims 25
Opioid_Tot_Clms divided by the Tot_Clms 0.8352872216
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 91
Aggregate Cost Paid for Antibiotic Drugs 1173.01
Antibiotic Claims 71
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 74.215311005
Number of Beneficiaries Age Less Than 65 34
Number of Beneficiaries Age 65 to 74 189
Number of Beneficiaries Age 75 to 84 140
Number of Female Beneficiaries 202
Number of Male Beneficiaries 216
Number of Non-Hispanic White 387
Number of Black or African American 0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 24
Only Entitlement 363
Average Hierarchical Condition Category 1.1847000336

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