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Susan Dale Wall

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NPI Number Detailed Information

Provider Information:

Name: Susan Dale Wall
Gender: F
Provider License Number If Given: 28400

NPI Information:

NPI: 1962480970
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 1/9/2006

Last Update Date: 6/30/2022

Reputation Report:

Provider Business Mailing Address:

Address: 801 YORK ST
Manitowoc, WI 54220
Phone Number: 9206639008
Fax Number: 9206841439

Provider Business Practice Location Address:

Address: 521 WESTBURY DR STE 2
Iowa City, IA 52245
Phone Number: 3193393872
Fax Number: 3193393874

Provider Taxonomy:

Primary: 207NS0135X
Secondary (if any): 207N00000X
State: IA

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About Susan Dale Wall

Susan Dale Wall ( SUSAN DALE WALL ) is Procedural Dermatology Physician in Iowa City, IA. The NPI Number for Susan Dale Wall is 1962480970.
The current location address for Susan Dale Wall is 521 WESTBURY DR STE 2 Iowa City, IA 52245 and the contact number is 9206639008 and fax number is 9206841439. The mailing address for Susan Dale Wall is 801 YORK ST Manitowoc, WI 54220- 3193393872 (mailing address contact number - 9206639008).
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Provider Business Location on Map

FAQs:

What is the NPI Number for Susan Dale Wall ?


Answer: The NPI Number for Susan Dale Wall is 1962480970

Where is Susan Dale Wall located?


Answer: Susan Dale Wall is located at 521 WESTBURY DR STE 2 Iowa City, IA 52245.

What is the specialty for Susan Dale Wall ?


Answer: The Specialty of Susan Dale Wall is Procedural Dermatology Physician.

Are there any online reviews for Susan Dale Wall ?


Answer: Yes! Check It Now.

Are there any other health care providers in Iowa City, IA?


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 Dale Wall

Number of HCPCS 29
Number of Medicare Beneficiaries 123
Number of Services 701
Total Submitted Charge Amount 92961.43
Total Medicare Allowed Amount 36799.65
Total Medicare Payment Amount 26870.47
Total Medicare Standardized Payment Amount 29067.48
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 76
Number of Beneficiaries Age Less 65 0
Number of Beneficiaries Age 65 to 74 59
Number of Beneficiaries Age 75 to 84 39
Number of Beneficiaries Age Greater 84 25
Number of Female Beneficiaries 83
Number of Male Beneficiaries 40
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 0.12
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.17
Percent (%) of Beneficiaries Identified With Diabetes 0.1
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.49
Percent (%) of Beneficiaries Identified With Hypertension 0.49
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.15
Percent (%) of Beneficiaries Identified With Osteoporosis 0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.32
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.7718

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 Dermatology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 110
Number of Standardized 30-Day Fills 118.5
Aggregate Cost Paid for All Claims 5497.28
Number of Day's Supply for All Claims 3163
Number of Medicare Beneficiaries 36
Number of Claims, Including Refills, for Beneficiaries Age 65+ 110
Including Refills, for Beneficiaries Age 65+ 118.5
Beneficiaries Age 65+ 5497.28
Number of Day's Supply for All Claims for Beneficaries Age 65+ 3163
Number of Medicare Beneficiaries Age 65+ 36
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 104
Aggregate Cost Paid for Generic Drugs 4243.62
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 27
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1305.11
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 83
Aggregate Cost Paid for Claims Filled by 4192.17
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst #
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
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 75.888888889
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 18
Number of Beneficiaries Age 75 to 84 11
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 34
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 1.0789247424

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