Mr. Abraham Dasalla Potencion

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NPI Number Detailed Information

Provider Information:

Name:	Mr. Abraham Dasalla Potencion
Gender:	M
Provider License Number If Given:	332578

NPI Information:

NPI:	1366494361
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/17/2006
Last Update Date:	10/10/2015

Provider Business Mailing Address:

Address:	475 SEAVIEW AVE Staten Island, NY 10305
Phone Number:	7182266134
Fax Number:	7182266133

Provider Business Practice Location Address:

Address:	475 SEAVIEW AVE Staten Island, NY 10305
Phone Number:	7182266134
Fax Number:	7182266133

Provider Taxonomy:

Primary:	363LF0000X
Secondary (if any):	363LF0000X
State:	NY

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About Mr. Abraham Dasalla Potencion

Mr. Abraham Dasalla Potencion (MR. ABRAHAM DASALLA POTENCION ) is Definition Nurse Practitioner Physician in Staten Island, NY. The NPI Number for Mr. Abraham Dasalla Potencion is 1366494361.

The current location address for Mr. Abraham Dasalla Potencion is 475 SEAVIEW AVE Staten Island, NY 10305 and the contact number is 7182266134 and fax number is 7182266133. The mailing address for Mr. Abraham Dasalla Potencion is 475 SEAVIEW AVE Staten Island, NY 10305- 7182266134 (mailing address contact number - 7182266134).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Abraham Dasalla Potencion ?

Answer: The NPI Number for Mr. Abraham Dasalla Potencion is 1366494361

Where is Mr. Abraham Dasalla Potencion located?

Answer: Mr. Abraham Dasalla Potencion is located at 475 SEAVIEW AVE Staten Island, NY 10305.

What is the specialty for Mr. Abraham Dasalla Potencion ?

Answer: The Specialty of Mr. Abraham Dasalla Potencion is Definition Nurse Practitioner Physician.

Are there any online reviews for Mr. Abraham Dasalla Potencion ?

Answer: Not yet!

Are there any other health care providers in Staten Island, NY?

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 Mr. Abraham Dasalla Potencion

Number of HCPCS	4
Number of Medicare Beneficiaries	29
Number of Services	51
Total Submitted Charge Amount	7375
Total Medicare Allowed Amount	4351.08
Total Medicare Payment Amount	3316.22
Total Medicare Standardized Payment Amount	3002.48
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	67
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	13
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	16
Number of Male Beneficiaries	13
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	0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes	0.52
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.66
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.38
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.4128

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	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	1099
Number of Standardized 30-Day Fills	1662.8333333
Aggregate Cost Paid for All Claims	81944.86
Number of Day's Supply for All Claims	47907
Number of Medicare Beneficiaries	109
Number of Claims, Including Refills, for Beneficiaries Age 65+	749
Including Refills, for Beneficiaries Age 65+	1232.8333333
Beneficiaries Age 65+	56023.61
Number of Day's Supply for All Claims for Beneficaries Age 65+	35535
Number of Medicare Beneficiaries Age 65+	84
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	169
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	930
Aggregate Cost Paid for Generic Drugs	16423.51
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	659
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	36989.89
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	440
Aggregate Cost Paid for Claims Filled by	44954.97
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	571
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	54012.81
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	528
by Low-Income Subsidy	27932.05
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	33
Aggregate Cost Paid for Antibiotic Drugs	176.21
Antibiotic Claims	25
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	14
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	222.26
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	70.036697248
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74	49
Number of Beneficiaries Age 75 to 84	28
Number of Female Beneficiaries	61
Number of Male Beneficiaries	48
Number of Non-Hispanic White	92
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
Only Entitlement	78
Average Hierarchical Condition Category	1.1464954128

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