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Susan H Kreckman

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NPI Number Detailed Information

Provider Information:

Name: Susan H Kreckman
Gender: F
Provider License Number If Given: 39356

NPI Information:

NPI: 1376527002
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 12/6/2005
Last Update Date: 10/14/2011
Reputation Report:

Provider Business Mailing Address:

Address: 2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE, INC.
Portage, WI 53901
Phone Number: 6087454598
Fax Number: 6087456242

Provider Business Practice Location Address:

Address: 2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE, INC.
Portage, WI 53901
Phone Number: 6087454598
Fax Number: 6087456242

Provider Taxonomy:

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

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About Susan H Kreckman

Susan H Kreckman ( SUSAN H KRECKMAN ) is Family Family Medicine Physician in Portage, WI. The NPI Number for Susan H Kreckman is 1376527002.
The current location address for Susan H Kreckman is 2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE, INC. Portage, WI 53901 and the contact number is 6087454598 and fax number is 6087456242. The mailing address for Susan H Kreckman is 2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE, INC. Portage, WI 53901- 6087454598 (mailing address contact number - 6087454598).
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 Susan H Kreckman ?


Answer: The NPI Number for Susan H Kreckman is 1376527002

Where is Susan H Kreckman located?


Answer: Susan H Kreckman is located at 2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE, INC. Portage, WI 53901.

What is the specialty for Susan H Kreckman ?


Answer: The Specialty of Susan H Kreckman is Family Family Medicine Physician.

Are there any online reviews for Susan H Kreckman ?


Answer: Yes! Check It Now.

Are there any other health care providers in Portage, 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 Susan H Kreckman

Number of HCPCS 17
Number of Medicare Beneficiaries 31
Number of Services 38
Total Submitted Charge Amount 7978.01
Total Medicare Allowed Amount 2832.78
Total Medicare Payment Amount 1642.69
Total Medicare Standardized Payment Amount 1758.12
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 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 12
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
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 0.35
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.9005

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 8740
Number of Standardized 30-Day Fills 17827.666667
Aggregate Cost Paid for All Claims 746773.85
Number of Day's Supply for All Claims 516260
Number of Medicare Beneficiaries 439
Number of Claims, Including Refills, for Beneficiaries Age 65+ 6547
Including Refills, for Beneficiaries Age 65+ 14285.633333
Beneficiaries Age 65+ 510684.61
Number of Day's Supply for All Claims for Beneficaries Age 65+ 415180
Number of Medicare Beneficiaries Age 65+ 351
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1142
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 7506
Aggregate Cost Paid for Generic Drugs 178161.79
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 92
Aggregate Cost Paid for Other Drugs 8733.92
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 3704
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 315362.5
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 5036
Aggregate Cost Paid for Claims Filled by 431411.35
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 3820
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 348284.22
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 4920
by Low-Income Subsidy 398489.63
Total Claims of Opioid Drugs, Including 623
Aggregate Cost Paid for Opioid Drugs 18606.08
Opioid Claims 89
Opioid_Tot_Clms divided by the Tot_Clms 7.1281464531
Total Claims of Long-Acting Opioid Drugs 101
Aggregate Cost Paid for Long-Acting Opioid 7690.24
Number of Day's Supply of All Long-Acting 2776
Long-Acting Opioid Claims 15
Opioid_LA_Tot_Clms divided by the 16.21187801
Total Claims of Antibiotic Drugs, Including 107
Aggregate Cost Paid for Antibiotic Drugs 3918.75
Antibiotic Claims 58
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 40
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 544.4
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 70.298405467
Number of Beneficiaries Age Less Than 65 88
Number of Beneficiaries Age 65 to 74 204
Number of Beneficiaries Age 75 to 84 100
Number of Female Beneficiaries 294
Number of Male Beneficiaries 145
Number of Non-Hispanic White 415
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 11
Only Entitlement 305
Average Hierarchical Condition Category 1.0215151795

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