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Allison Jessica Sems

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NPI Number Detailed Information

Provider Information:

Name: Allison Jessica Sems
Gender: F
Provider License Number If Given: 1863

NPI Information:

NPI: 1669792172
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/7/2010

Last Update Date: 7/17/2020

Provider Business Mailing Address:

Address: PO BOX 132
Clifton, TN 38425
Phone Number: 9316765200
Fax Number: 9316765202

Provider Business Practice Location Address:

Address: 124 MAIN ST
Clifton, TN 38425
Phone Number: 7319255200
Fax Number: 9316765202

Provider Taxonomy:

Primary: 363AM0700X
Secondary (if any):
State: TN

Top Doctors in TN

 

About Allison Jessica Sems

Allison Jessica Sems ( ALLISON JESSICA SEMS ) is Definition Physician Assistant Physician in Clifton, TN. The NPI Number for Allison Jessica Sems is 1669792172.
The current location address for Allison Jessica Sems is 124 MAIN ST Clifton, TN 38425 and the contact number is 9316765200 and fax number is 9316765202. The mailing address for Allison Jessica Sems is PO BOX 132 Clifton, TN 38425- 7319255200 (mailing address contact number - 9316765200).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Allison Jessica Sems ?


Answer: The NPI Number for Allison Jessica Sems is 1669792172

Where is Allison Jessica Sems located?


Answer: Allison Jessica Sems is located at 124 MAIN ST Clifton, TN 38425.

What is the specialty for Allison Jessica Sems ?


Answer: The Specialty of Allison Jessica Sems is Definition Physician Assistant Physician.

Are there any online reviews for Allison Jessica Sems ?


Answer: Not yet!

Are there any other health care providers in Clifton, TN?


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 Allison Jessica Sems

Number of HCPCS 50
Number of Medicare Beneficiaries 125
Number of Services 1374
Total Submitted Charge Amount 100723.64
Total Medicare Allowed Amount 44793.42
Total Medicare Payment Amount 36162.86
Total Medicare Standardized Payment Amount 38138.48
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 13
Number of Medicare Beneficiaries With Drug Services 51
Number of Drug Services 533
Total Drug Submitted Charge Amount 7636.25
Total Drug Medicare Allowed Amount 781.93
Total Drug Medicare Payment Amount 610.44
Total Drug Medicare Standardized Payment Amount 598.28
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 37
Number of Medicare Beneficiaries With Medical 124
Number of Medical Services 841
Total Medical Submitted Charge Amount 93087.39
Total Medical Medicare Allowed Amount 44011.49
Total Medical Medicare Payment Amount 35552.42
Total Medical Medicare Standardized Payment Amount 37540.2
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 16
Number of Beneficiaries Age 65 to 74 67
Number of Beneficiaries Age 75 to 84 28
Number of Beneficiaries Age Greater 84 14
Number of Female Beneficiaries 62
Number of Male Beneficiaries 63
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 17
Number of Beneficiaries With Medicare Only Entitlement 108
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 0.14
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.24
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.16
Percent (%) of Beneficiaries Identified With Depression 0.2
Percent (%) of Beneficiaries Identified With Diabetes 0.22
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.42
Percent (%) of Beneficiaries Identified With Hypertension 0.61
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.24
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.42
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.8777

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 Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1563
Number of Standardized 30-Day Fills 2265.9
Aggregate Cost Paid for All Claims 106423.48
Number of Day's Supply for All Claims 60533
Number of Medicare Beneficiaries 151
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1100
Including Refills, for Beneficiaries Age 65+ 1742.7666667
Beneficiaries Age 65+ 73010.55
Number of Day's Supply for All Claims for Beneficaries Age 65+ 46436
Number of Medicare Beneficiaries Age 65+ 115
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 1332
Aggregate Cost Paid for Generic Drugs 43227.58
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 749
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 66249.54
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 814
Aggregate Cost Paid for Claims Filled by 40173.94
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 763
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 48501.31
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 800
by Low-Income Subsidy 57922.17
Total Claims of Opioid Drugs, Including 67
Aggregate Cost Paid for Opioid Drugs 1000.76
Opioid Claims 19
Opioid_Tot_Clms divided by the Tot_Clms 4.286628279
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 0
Total Claims of Antibiotic Drugs, Including 117
Aggregate Cost Paid for Antibiotic Drugs 1501.47
Antibiotic Claims 68
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 69.536423841
Number of Beneficiaries Age Less Than 65 36
Number of Beneficiaries Age 65 to 74 71
Number of Beneficiaries Age 75 to 84 29
Number of Female Beneficiaries 88
Number of Male Beneficiaries 63
Number of Non-Hispanic White 142
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 105
Average Hierarchical Condition Category 0.9660226352

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