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Toni Sicenica

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NPI Number Detailed Information

Provider Information:

Name: Toni Sicenica
Gender: M
Provider License Number If Given: MD073848L

NPI Information:

NPI: 1235123159
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/7/2005

Last Update Date: 4/14/2010

Reputation Report:

Provider Business Mailing Address:

Address: 1019 SUMMERSET DR
Pittsburgh, PA 15217
Phone Number: 4125217375
Fax Number:

Provider Business Practice Location Address:

Address: 1200 BROOKS LN SUITE 130
Jefferson Hills, PA 15025
Phone Number: 4124693600
Fax Number: 4124693630

Provider Taxonomy:

Primary: 207RP1001X
Secondary (if any):
State: PA

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About Toni Sicenica

Toni Sicenica ( TONI SICENICA ) is An Internal Medicine Physician in Jefferson Hills, PA. The NPI Number for Toni Sicenica is 1235123159.
The current location address for Toni Sicenica is 1200 BROOKS LN SUITE 130 Jefferson Hills, PA 15025 and the contact number is 4125217375 and fax number is . The mailing address for Toni Sicenica is 1019 SUMMERSET DR Pittsburgh, PA 15217- 4124693600 (mailing address contact number - 4125217375).
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Toni Sicenica ?


Answer: The NPI Number for Toni Sicenica is 1235123159

Where is Toni Sicenica located?


Answer: Toni Sicenica is located at 1200 BROOKS LN SUITE 130 Jefferson Hills, PA 15025.

What is the specialty for Toni Sicenica ?


Answer: The Specialty of Toni Sicenica is An Internal Medicine Physician.

Are there any online reviews for Toni Sicenica ?


Answer: Yes! Check It Now.

Are there any other health care providers in Jefferson Hills, PA?


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 Toni Sicenica

Number of HCPCS 26
Number of Medicare Beneficiaries 444
Number of Services 2607
Total Submitted Charge Amount 332775
Total Medicare Allowed Amount 210992.74
Total Medicare Payment Amount 163998.74
Total Medicare Standardized Payment Amount 167150.03
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 26
Number of Medicare Beneficiaries With Medical 444
Number of Medical Services 2607
Total Medical Submitted Charge Amount 332775
Total Medical Medicare Allowed Amount 210992.74
Total Medical Medicare Payment Amount 163998.74
Total Medical Medicare Standardized Payment Amount 167150.03
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 52
Number of Beneficiaries Age 65 to 74 191
Number of Beneficiaries Age 75 to 84 155
Number of Beneficiaries Age Greater 84 46
Number of Female Beneficiaries 216
Number of Male Beneficiaries 228
Number of Non-Hispanic White Beneficiaries 420
Number of Black or African American Beneficiaries 13
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 109
Number of Beneficiaries With Medicare Only Entitlement 335
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.27
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.24
Percent (%) of Beneficiaries Identified With Asthma 0.15
Percent (%) of Beneficiaries Identified With Cancer 0.16
Percent (%) of Beneficiaries Identified With Heart Failure 0.47
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.6
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.58
Percent (%) of Beneficiaries Identified With Depression 0.32
Percent (%) of Beneficiaries Identified With Diabetes 0.48
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.66
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.6
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.52
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.04
Percent (%) of Beneficiaries Identified With Stroke 0.09
Average HCC Risk Score of Beneficiaries 2.1029

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 Pulmonary Disease
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1115
Number of Standardized 30-Day Fills 1519.6333333
Aggregate Cost Paid for All Claims 420887.64
Number of Day's Supply for All Claims 42417
Number of Medicare Beneficiaries 205
Number of Claims, Including Refills, for Beneficiaries Age 65+ 850
Including Refills, for Beneficiaries Age 65+ 1158.1
Beneficiaries Age 65+ 322107.82
Number of Day's Supply for All Claims for Beneficaries Age 65+ 32471
Number of Medicare Beneficiaries Age 65+ 168
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 692
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 423
Aggregate Cost Paid for Generic Drugs 12763.58
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 591
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 250774.46
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 524
Aggregate Cost Paid for Claims Filled by 170113.18
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 375
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 139348.3
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 740
by Low-Income Subsidy 281539.34
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 73
Aggregate Cost Paid for Antibiotic Drugs 1153.82
Antibiotic Claims 42
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 72.092682927
Number of Beneficiaries Age Less Than 65 37
Number of Beneficiaries Age 65 to 74 88
Number of Beneficiaries Age 75 to 84 64
Number of Female Beneficiaries 123
Number of Male Beneficiaries 82
Number of Non-Hispanic White 202
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement 155
Average Hierarchical Condition Category 1.9350382913

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