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Robert Wagner

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NPI Number Detailed Information

Provider Information:

Name: Robert Wagner
Gender: M
Provider License Number If Given: 36051902

NPI Information:

NPI: 1588663017
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 5/11/2022

Reputation Report:

Provider Business Mailing Address:

Address: 1361 W FREMONT ST
Galesburg, IL 61401
Phone Number: 3093442225
Fax Number:

Provider Business Practice Location Address:

Address: 1361 W FREMONT ST
Galesburg, IL 61401
Phone Number: 3093442225
Fax Number: 3093442230

Provider Taxonomy:

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

Top Doctors in IL

 

About Robert Wagner

Robert Wagner ( ROBERT WAGNER ) is Family Family Medicine Physician in Galesburg, IL. The NPI Number for Robert Wagner is 1588663017.
The current location address for Robert Wagner is 1361 W FREMONT ST Galesburg, IL 61401 and the contact number is 3093442225 and fax number is . The mailing address for Robert Wagner is 1361 W FREMONT ST Galesburg, IL 61401- 3093442225 (mailing address contact number - 3093442225).
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 Robert Wagner ?


Answer: The NPI Number for Robert Wagner is 1588663017

Where is Robert Wagner located?


Answer: Robert Wagner is located at 1361 W FREMONT ST Galesburg, IL 61401.

What is the specialty for Robert Wagner ?


Answer: The Specialty of Robert Wagner is Family Family Medicine Physician.

Are there any online reviews for Robert Wagner ?


Answer: Yes! Check It Now.

Are there any other health care providers in Galesburg, IL?


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 Robert Wagner

Number of HCPCS 60
Number of Medicare Beneficiaries 592
Number of Services 3836
Total Submitted Charge Amount 262857.38
Total Medicare Allowed Amount 102992.88
Total Medicare Payment Amount 78654.5
Total Medicare Standardized Payment Amount 79771.59
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 7
Number of Medicare Beneficiaries With Drug Services 29
Number of Drug Services 2339
Total Drug Submitted Charge Amount 4374
Total Drug Medicare Allowed Amount 2011.78
Total Drug Medicare Payment Amount 1967.48
Total Drug Medicare Standardized Payment Amount 1928.07
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 53
Number of Medicare Beneficiaries With Medical 592
Number of Medical Services 1497
Total Medical Submitted Charge Amount 258483.38
Total Medical Medicare Allowed Amount 100981.1
Total Medical Medicare Payment Amount 76687.02
Total Medical Medicare Standardized Payment Amount 77843.52
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 40
Number of Beneficiaries Age 65 to 74 282
Number of Beneficiaries Age 75 to 84 168
Number of Beneficiaries Age Greater 84 102
Number of Female Beneficiaries 271
Number of Male Beneficiaries 321
Number of Non-Hispanic White Beneficiaries 558
Number of Black or African American Beneficiaries 17
Number of Asian Pacific Islander Beneficiaries 0
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 117
Number of Beneficiaries With Medicare Only Entitlement 475
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.16
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.09
Percent (%) of Beneficiaries Identified With Heart Failure 0.2
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.3
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.18
Percent (%) of Beneficiaries Identified With Depression 0.18
Percent (%) of Beneficiaries Identified With Diabetes 0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.53
Percent (%) of Beneficiaries Identified With Hypertension 0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.31
Percent (%) of Beneficiaries Identified With Osteoporosis 0.04
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.34
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.06
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.3384

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 9492
Number of Standardized 30-Day Fills 17980.166667
Aggregate Cost Paid for All Claims 531955.74
Number of Day's Supply for All Claims 517624
Number of Medicare Beneficiaries 599
Number of Claims, Including Refills, for Beneficiaries Age 65+ 8507
Including Refills, for Beneficiaries Age 65+ 16589.266667
Beneficiaries Age 65+ 458431.39
Number of Day's Supply for All Claims for Beneficaries Age 65+ 478877
Number of Medicare Beneficiaries Age 65+ 530
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1070
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 8347
Aggregate Cost Paid for Generic Drugs 154379.93
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 75
Aggregate Cost Paid for Other Drugs 2599.63
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 3384
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 198200.61
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 6108
Aggregate Cost Paid for Claims Filled by 333755.13
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 2735
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 183353.31
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 6757
by Low-Income Subsidy 348602.43
Total Claims of Opioid Drugs, Including 378
Aggregate Cost Paid for Opioid Drugs 5863.81
Opioid Claims 97
Opioid_Tot_Clms divided by the Tot_Clms 3.982300885
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 240
Aggregate Cost Paid for Antibiotic Drugs 4958.32
Antibiotic Claims 131
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 36
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 641.51
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 73.101836394
Number of Beneficiaries Age Less Than 65 69
Number of Beneficiaries Age 65 to 74 271
Number of Beneficiaries Age 75 to 84 186
Number of Female Beneficiaries 275
Number of Male Beneficiaries 324
Number of Non-Hispanic White 557
Number of Black or African American 23
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 466
Average Hierarchical Condition Category 1.1911922576

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