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Russell J Fredrickson

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NPI Number Detailed Information

Provider Information:

Name: Russell J Fredrickson
Gender: M
Provider License Number If Given: 44683

NPI Information:

NPI: 1881685261
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 11/3/2005

Last Update Date: 12/10/2020

Reputation Report:

Provider Business Mailing Address:

Address: 420 E DIVISION ST
Fond Du Lac, WI 54935
Phone Number: 9209268340
Fax Number: 9209268370

Provider Business Practice Location Address:

Address: 723 PARK RIDGE LN
North Fond Du Lac, WI 54937
Phone Number: 9209268600
Fax Number:

Provider Taxonomy:

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

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About Russell J Fredrickson

Russell J Fredrickson ( RUSSELL J FREDRICKSON ) is Family Family Medicine Physician in North Fond Du Lac, WI. The NPI Number for Russell J Fredrickson is 1881685261.
The current location address for Russell J Fredrickson is 723 PARK RIDGE LN North Fond Du Lac, WI 54937 and the contact number is 9209268340 and fax number is 9209268370. The mailing address for Russell J Fredrickson is 420 E DIVISION ST Fond Du Lac, WI 54935- 9209268600 (mailing address contact number - 9209268340).
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 Russell J Fredrickson ?


Answer: The NPI Number for Russell J Fredrickson is 1881685261

Where is Russell J Fredrickson located?


Answer: Russell J Fredrickson is located at 723 PARK RIDGE LN North Fond Du Lac, WI 54937.

What is the specialty for Russell J Fredrickson ?


Answer: The Specialty of Russell J Fredrickson is Family Family Medicine Physician.

Are there any online reviews for Russell J Fredrickson ?


Answer: Yes! Check It Now.

Are there any other health care providers in North Fond Du Lac, 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 Russell J Fredrickson

Number of HCPCS 52
Number of Medicare Beneficiaries 356
Number of Services 1962
Total Submitted Charge Amount 200560
Total Medicare Allowed Amount 67004.38
Total Medicare Payment Amount 49135.61
Total Medicare Standardized Payment Amount 50818.17
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 8
Number of Medicare Beneficiaries With Drug Services 89
Number of Drug Services 992
Total Drug Submitted Charge Amount 20511
Total Drug Medicare Allowed Amount 7007.35
Total Drug Medicare Payment Amount 6851.23
Total Drug Medicare Standardized Payment Amount 6715.17
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 44
Number of Medicare Beneficiaries With Medical 356
Number of Medical Services 970
Total Medical Submitted Charge Amount 180049
Total Medical Medicare Allowed Amount 59997.03
Total Medical Medicare Payment Amount 42284.38
Total Medical Medicare Standardized Payment Amount 44103
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 19
Number of Beneficiaries Age 65 to 74 153
Number of Beneficiaries Age 75 to 84 127
Number of Beneficiaries Age Greater 84 57
Number of Female Beneficiaries 173
Number of Male Beneficiaries 183
Number of Non-Hispanic White Beneficiaries 345
Number of Black or African American Beneficiaries 0
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 23
Number of Beneficiaries With Medicare Only Entitlement 333
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.04
Percent (%) of Beneficiaries Identified With Asthma 0.03
Percent (%) of Beneficiaries Identified With Cancer 0.06
Percent (%) of Beneficiaries Identified With Heart Failure 0.1
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.2
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.06
Percent (%) of Beneficiaries Identified With Depression 0.1
Percent (%) of Beneficiaries Identified With Diabetes 0.17
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.42
Percent (%) of Beneficiaries Identified With Hypertension 0.4
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.19
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.24
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.9925

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 12243
Number of Standardized 30-Day Fills 28860.166667
Aggregate Cost Paid for All Claims 647675.19
Number of Day's Supply for All Claims 841813
Number of Medicare Beneficiaries 810
Number of Claims, Including Refills, for Beneficiaries Age 65+ 11131
Including Refills, for Beneficiaries Age 65+ 26852.633333
Beneficiaries Age 65+ 568614.34
Number of Day's Supply for All Claims for Beneficaries Age 65+ 783841
Number of Medicare Beneficiaries Age 65+ 754
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 904
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 11254
Aggregate Cost Paid for Generic Drugs 285308.82
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 85
Aggregate Cost Paid for Other Drugs 6026.17
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 8961
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 455686.88
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 3282
Aggregate Cost Paid for Claims Filled by 191988.31
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 2149
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 166575.94
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 10094
by Low-Income Subsidy 481099.25
Total Claims of Opioid Drugs, Including 305
Aggregate Cost Paid for Opioid Drugs 9385.39
Opioid Claims 85
Opioid_Tot_Clms divided by the Tot_Clms 2.4912194724
Total Claims of Long-Acting Opioid Drugs 13
Aggregate Cost Paid for Long-Acting Opioid 3027.51
Number of Day's Supply of All Long-Acting 390
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 4.262295082
Total Claims of Antibiotic Drugs, Including 256
Aggregate Cost Paid for Antibiotic Drugs 3067.71
Antibiotic Claims 142
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 22
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 608.91
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 73.960493827
Number of Beneficiaries Age Less Than 65 56
Number of Beneficiaries Age 65 to 74 390
Number of Beneficiaries Age 75 to 84 254
Number of Female Beneficiaries 396
Number of Male Beneficiaries 414
Number of Non-Hispanic White 778
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 22
Only Entitlement 732
Average Hierarchical Condition Category 0.9464598244

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