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Ahmet Dervish

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NPI Number Detailed Information

Provider Information:

Name: Ahmet Dervish
Gender: M
Provider License Number If Given: 33794

NPI Information:

NPI: 1104854462
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/28/2006

Last Update Date: 8/29/2008

Reputation Report:

Provider Business Mailing Address:

Address: 2845 GREENBRIER RD STE 340 PO BOX 8900
Green Bay, WI 54308
Phone Number: 9202888380
Fax Number: 9202888385

Provider Business Practice Location Address:

Address: 2845 GREENBRIER RD STE 340
Green Bay, WI 54311
Phone Number: 9202888380
Fax Number: 9202888385

Provider Taxonomy:

Primary: 208VP0014X
Secondary (if any):
State: WI

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About Ahmet Dervish

Ahmet Dervish ( AHMET DERVISH ) is Interventional Pain Medicine Physician in Green Bay, WI. The NPI Number for Ahmet Dervish is 1104854462.
The current location address for Ahmet Dervish is 2845 GREENBRIER RD STE 340 Green Bay, WI 54311 and the contact number is 9202888380 and fax number is 9202888385. The mailing address for Ahmet Dervish is 2845 GREENBRIER RD STE 340 PO BOX 8900 Green Bay, WI 54308- 9202888380 (mailing address contact number - 9202888380).
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Provider Business Location on Map

FAQs:

What is the NPI Number for Ahmet Dervish ?


Answer: The NPI Number for Ahmet Dervish is 1104854462

Where is Ahmet Dervish located?


Answer: Ahmet Dervish is located at 2845 GREENBRIER RD STE 340 Green Bay, WI 54311.

What is the specialty for Ahmet Dervish ?


Answer: The Specialty of Ahmet Dervish is Interventional Pain Medicine Physician.

Are there any online reviews for Ahmet Dervish ?


Answer: Yes! Check It Now.

Are there any other health care providers in Green Bay, 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 Ahmet Dervish

Number of HCPCS 50
Number of Medicare Beneficiaries 140
Number of Services 658
Total Submitted Charge Amount 542828
Total Medicare Allowed Amount 47768.01
Total Medicare Payment Amount 33716.4
Total Medicare Standardized Payment Amount 39455.53
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 3
Number of Medicare Beneficiaries With Drug Services 23
Number of Drug Services 48
Total Drug Submitted Charge Amount 524
Total Drug Medicare Allowed Amount 99.89
Total Drug Medicare Payment Amount 70.05
Total Drug Medicare Standardized Payment Amount 69.18
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 47
Number of Medicare Beneficiaries With Medical 140
Number of Medical Services 610
Total Medical Submitted Charge Amount 542304
Total Medical Medicare Allowed Amount 47668.12
Total Medical Medicare Payment Amount 33646.35
Total Medical Medicare Standardized Payment Amount 39386.35
Average Age of Beneficiaries 69
Number of Beneficiaries Age Less 65 37
Number of Beneficiaries Age 65 to 74 66
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 87
Number of Male Beneficiaries 53
Number of Non-Hispanic White Beneficiaries 129
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 21
Number of Beneficiaries With Medicare Only Entitlement 119
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.12
Percent (%) of Beneficiaries Identified With Cancer 0.08
Percent (%) of Beneficiaries Identified With Heart Failure 0.17
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.41
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.14
Percent (%) of Beneficiaries Identified With Depression 0.49
Percent (%) of Beneficiaries Identified With Diabetes 0.34
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.68
Percent (%) of Beneficiaries Identified With Hypertension 0.66
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.38
Percent (%) of Beneficiaries Identified With Osteoporosis 0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.4482

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 Interventional Pain Management
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 738
Number of Standardized 30-Day Fills 836.5
Aggregate Cost Paid for All Claims 20318.87
Number of Day's Supply for All Claims 22105
Number of Medicare Beneficiaries 176
Number of Claims, Including Refills, for Beneficiaries Age 65+ 453
Including Refills, for Beneficiaries Age 65+ 489.5
Beneficiaries Age 65+ 10887.04
Number of Day's Supply for All Claims for Beneficaries Age 65+ 12725
Number of Medicare Beneficiaries Age 65+ 116
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 20
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 718
Aggregate Cost Paid for Generic Drugs 15276.49
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 515
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 12021.15
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 223
Aggregate Cost Paid for Claims Filled by 8297.72
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 342
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 10927.23
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 396
by Low-Income Subsidy 9391.64
Total Claims of Opioid Drugs, Including 419
Aggregate Cost Paid for Opioid Drugs 11513.45
Opioid Claims 135
Opioid_Tot_Clms divided by the Tot_Clms 56.775067751
Total Claims of Long-Acting Opioid Drugs 36
Aggregate Cost Paid for Long-Acting Opioid 3919.9
Number of Day's Supply of All Long-Acting 1064
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 8.5918854415
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 67.022727273
Number of Beneficiaries Age Less Than 65 60
Number of Beneficiaries Age 65 to 74 84
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 109
Number of Male Beneficiaries 67
Number of Non-Hispanic White 162
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 121
Average Hierarchical Condition Category 1.5406205497

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