Audrey Susan Wagner

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NPI Number Detailed Information

Provider Information:

Name:	Audrey Susan Wagner
Gender:	F
Provider License Number If Given:	76506

NPI Information:

NPI:	1639127152
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/5/2006
Last Update Date:	6/27/2011
Reputation Report:

Provider Business Mailing Address:

Address:	147 MILK ST PROVIDER ENROLLMENT - 9TH FLOOR Boston, MA 02109
Phone Number:	6175598374
Fax Number:

Provider Business Practice Location Address:

Address:	485 ARSENAL ST INTERNAL MEDICINE Watertown, MA 02472
Phone Number:	6179725200
Fax Number:	6179725512

Provider Taxonomy:

Primary:	207R00000X
Secondary (if any):
State:	MA

Top Doctors in MA

About Audrey Susan Wagner

Audrey Susan Wagner ( AUDREY SUSAN WAGNER ) is A Internal Medicine Physician in Watertown, MA. The NPI Number for Audrey Susan Wagner is 1639127152.

The current location address for Audrey Susan Wagner is 485 ARSENAL ST INTERNAL MEDICINE Watertown, MA 02472 and the contact number is 6175598374 and fax number is . The mailing address for Audrey Susan Wagner is 147 MILK ST PROVIDER ENROLLMENT - 9TH FLOOR Boston, MA 02109- 6179725200 (mailing address contact number - 6175598374).

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Audrey Susan Wagner ?

Answer: The NPI Number for Audrey Susan Wagner is 1639127152

Where is Audrey Susan Wagner located?

Answer: Audrey Susan Wagner is located at 485 ARSENAL ST INTERNAL MEDICINE Watertown, MA 02472.

What is the specialty for Audrey Susan Wagner ?

Answer: The Specialty of Audrey Susan Wagner is A Internal Medicine Physician.

Are there any online reviews for Audrey Susan Wagner ?

Answer: Yes! Check It Now.

Are there any other health care providers in Watertown, MA?

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 Audrey Susan Wagner

Number of HCPCS	65
Number of Medicare Beneficiaries	104
Number of Services	377
Total Submitted Charge Amount	40430
Total Medicare Allowed Amount	16398
Total Medicare Payment Amount	12804.03
Total Medicare Standardized Payment Amount	11601.39
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	74
Number of Beneficiaries Age Less 65	11
Number of Beneficiaries Age 65 to 74	45
Number of Beneficiaries Age 75 to 84	33
Number of Beneficiaries Age Greater 84	15
Number of Female Beneficiaries	73
Number of Male Beneficiaries	31
Number of Non-Hispanic White Beneficiaries	84
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	26
Number of Beneficiaries With Medicare Only Entitlement	78
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.15
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure	0.12
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.27
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression	0.4
Percent (%) of Beneficiaries Identified With Diabetes	0.14
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.56
Percent (%) of Beneficiaries Identified With Hypertension	0.48
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.29
Percent (%) of Beneficiaries Identified With Osteoporosis	0.25
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.35
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.0827

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	Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	896
Number of Standardized 30-Day Fills	1834.6666667
Aggregate Cost Paid for All Claims	48142.74
Number of Day's Supply for All Claims	53782
Number of Medicare Beneficiaries	148
Number of Claims, Including Refills, for Beneficiaries Age 65+	755
Including Refills, for Beneficiaries Age 65+	1677.0666667
Beneficiaries Age 65+	41020.16
Number of Day's Supply for All Claims for Beneficaries Age 65+	49192
Number of Medicare Beneficiaries Age 65+	132
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	769
Aggregate Cost Paid for Generic Drugs	15623.65
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	314
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	16885.34
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	582
Aggregate Cost Paid for Claims Filled by	31257.4
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	388
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	19079.74
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	508
by Low-Income Subsidy	29063
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+
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	73.216216216
Number of Beneficiaries Age Less Than 65	16
Number of Beneficiaries Age 65 to 74	67
Number of Beneficiaries Age 75 to 84	47
Number of Female Beneficiaries	101
Number of Male Beneficiaries	47
Number of Non-Hispanic White	112
Number of Black or African American
Number of Asian Pacific Islander	11
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not	11
Only Entitlement	109
Average Hierarchical Condition Category	1.1006121884

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