Medicare billing address
CMS Medicare provider billing file
5 Winterberry LnSewickley, PA 15143
CMS public data · NPI 1275529786
Dr. Maureen L Hrishenko: Medicare billing data
CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.
CMS display name
Maureen L Hrishenko, M.D.
Specialty
Credential
M.D.
NPI
1275529786
Primary source state
PA
Data retrieval date
July 26, 2026
What related Medicare data is on this site?
Pennsylvania doctorsState Doctor hubNephrologyState-specialty hubSewickley, PAPrimary city link if this route exists
Where these numbers come from, and what they cannot tell you
Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.
How should you read this Doctor page?
This page shows Medicare billing and Part D prescribing data for Maureen L Hrishenko, M.D. from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.
A licensed agent, not a call center
Do your doctors and prescriptions fit before you enroll?
Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Bring the doctors and prescriptions that matter to you, then check the details before you enroll.
What Medicare source indicators are listed for this NPI?
Medicare participating
Yes
Individual assignment
Yes
Group assignment
Yes
CMS opt-out records
0
Which practice locations appear in CMS files?
When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.
Sewickley, PA 15143
ST. LUKE'S HOSPITAL OF DULUTH
CMS Doctors & Clinicians file
1000 E 1St StSuite Ll
Duluth, MN 55805
AVERA MCKENNAN
CMS Doctors & Clinicians file
1325 S Cliff AveSioux Falls, SD 57105
AVERA MCKENNAN
CMS Doctors & Clinicians file
1325 S Cliff AveRadiology
Sioux Falls, SD 57105
What does the Medicare billing file show?
In the 2024 CMS provider billing file, this NPI had 418 Medicare beneficiaries and 2,502 total services. The average beneficiary age was 72, and the average HCC risk score was 4.8.
Total Medicare allowed amount
$214,071.15
Total Medicare payment amount
$170,137.90
Medicare beneficiaries
418
Total services
2,502
Which patient-panel condition fields does CMS report?
These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.
Chronic kidney disease
75%
CMS beneficiary-panel share
Hyperlipidemia
75%
CMS beneficiary-panel share
Hypertension
75%
CMS beneficiary-panel share
Heart failure
68%
CMS beneficiary-panel share
Ischemic heart disease
61%
CMS beneficiary-panel share
Diabetes
58%
CMS beneficiary-panel share
Where these service numbers come from, and what they cannot tell you
Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.
Which Medicare services appear most often?
| CMS service description | Services | Avg allowed |
|---|---|---|
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,461 | $73.21 |
| Hemodialysis procedure with physician evaluation | 570 | $66.54 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 359 | $161.58 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 43 | $111.23 |
| Hemodialysis procedure requiring repeated evaluation | 39 | $96.08 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | $121.76 |
What background fields does CMS report?
Graduation year
1981
Group/practice field
St. Luke'S Hospital Of Duluth
Telehealth reported
Not reported
Secondary specialty fields reported by CMS: Internal Medicine.
What can this data not tell us?
- CMS billing data does not say whether this doctor appears in any Medicare Advantage plan directory.
- Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.
- CMS billing data does not list Medicare Advantage plan-directory status for this doctor.
- CMS service and prescribing records are historical public-use aggregates; they do not report current appointment availability, clinical outcomes, or patient-specific medical advice.
- Part D provider-and-drug records do not include current formulary status, copay amount, pharmacy price, prior-authorization rules, or step-therapy rules.
What should you verify separately?
Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.
Which CMS sources support this page?
The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.
- Medicare Physician & Other Practitioners - by Provider · 1 records for this NPI · retrieved July 26, 2026
- Medicare Physician & Other Practitioners - by Provider and Service · 6 records for this NPI · retrieved July 26, 2026
- Doctors and Clinicians National Downloadable File · 8 records for this NPI · retrieved July 26, 2026
- Opt-Out Affidavits · 0 records for this NPI · retrieved July 26, 2026
- Medicare Part D Prescribers - by Provider and Drug · 0 records for this NPI · retrieved July 26, 2026
What caveats apply to this page?
- CMS billing and utilization files do not list Medicare Advantage plan networks, appointment availability, or clinical outcomes.
- Part D provider-and-drug files are historical aggregate claims data; they do not report current medication lists, plan coverage, pharmacy price, or prior-authorization rules.
- Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.