Susan Tracy Wolgamott

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NPI Number Detailed Information

Provider Information:

Name:	Susan Tracy Wolgamott
Gender:	F
Provider License Number If Given:	4704191164

NPI Information:

NPI:	1760894638
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/28/2014
Last Update Date:	12/7/2022

Provider Business Mailing Address:

Address:	46445 MEADOWVIEW DR Shelby Township, MI 48317
Phone Number:	5862066948
Fax Number:

Provider Business Practice Location Address:

Address:	10 W SQUARE LAKE RD STE 200 Bloomfield Township, MI 48302
Phone Number:	2482211845
Fax Number:	8336452176

Provider Taxonomy:

Primary:	363LF0000X
Secondary (if any):
State:	MI

Top Doctors in MI

About Susan Tracy Wolgamott

Susan Tracy Wolgamott ( SUSAN TRACY WOLGAMOTT ) is Definition Nurse Practitioner Physician in Bloomfield Township, MI. The NPI Number for Susan Tracy Wolgamott is 1760894638.

The current location address for Susan Tracy Wolgamott is 10 W SQUARE LAKE RD STE 200 Bloomfield Township, MI 48302 and the contact number is 5862066948 and fax number is . The mailing address for Susan Tracy Wolgamott is 46445 MEADOWVIEW DR Shelby Township, MI 48317- 2482211845 (mailing address contact number - 5862066948).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Susan Tracy Wolgamott ?

Answer: The NPI Number for Susan Tracy Wolgamott is 1760894638

Where is Susan Tracy Wolgamott located?

Answer: Susan Tracy Wolgamott is located at 10 W SQUARE LAKE RD STE 200 Bloomfield Township, MI 48302.

What is the specialty for Susan Tracy Wolgamott ?

Answer: The Specialty of Susan Tracy Wolgamott is Definition Nurse Practitioner Physician.

Are there any online reviews for Susan Tracy Wolgamott ?

Answer: Not yet!

Are there any other health care providers in Bloomfield Township, MI?

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 Tracy Wolgamott

Number of HCPCS	9
Number of Medicare Beneficiaries	63
Number of Services	83
Total Submitted Charge Amount	13118
Total Medicare Allowed Amount	7096.61
Total Medicare Payment Amount	5087.53
Total Medicare Standardized Payment Amount	5015.26
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	9
Number of Medicare Beneficiaries With Medical	63
Number of Medical Services	83
Total Medical Submitted Charge Amount	13118
Total Medical Medicare Allowed Amount	7096.61
Total Medical Medicare Payment Amount	5087.53
Total Medical Medicare Standardized Payment Amount	5015.26
Average Age of Beneficiaries	70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	34
Number of Beneficiaries Age 75 to 84	16
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	43
Number of Male Beneficiaries	20
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	15
Number of Beneficiaries With Medicare Only Entitlement	48
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	0.19
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.22
Percent (%) of Beneficiaries Identified With Depression	0.29
Percent (%) of Beneficiaries Identified With Diabetes	0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.68
Percent (%) of Beneficiaries Identified With Hypertension	0.71
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.41
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.52
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.4432

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	105
Number of Standardized 30-Day Fills	175.53333333
Aggregate Cost Paid for All Claims	74205.12
Number of Day's Supply for All Claims	4710
Number of Medicare Beneficiaries	43
Number of Claims, Including Refills, for Beneficiaries Age 65+	58
Including Refills, for Beneficiaries Age 65+	96.433333333
Beneficiaries Age 65+	42177.84
Number of Day's Supply for All Claims for Beneficaries Age 65+	2561
Number of Medicare Beneficiaries Age 65+	30
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	76
Aggregate Cost Paid for Generic Drugs	3970.88
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	40
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	9597.58
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	65
Aggregate Cost Paid for Claims Filled by	64607.54
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	36
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	48559.82
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	69
by Low-Income Subsidy	25645.3
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
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
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	67.488372093
Number of Beneficiaries Age Less Than 65	13
Number of Beneficiaries Age 65 to 74	20
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	31
Number of Male Beneficiaries	12
Number of Non-Hispanic White	41
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	1.5899534884

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