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Arthur C. Sgalia JR.

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NPI Number Detailed Information

Provider Information:

Name: Arthur C. Sgalia JR.
Gender: M
Provider License Number If Given: 37346

NPI Information:

NPI: 1104815695
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/17/2005

Last Update Date: 11/23/2020

Reputation Report:

Provider Business Mailing Address:

Address: 280 CHESTNUT ST FL 2
Springfield, MA 01199
Phone Number: 4137945700
Fax Number:

Provider Business Practice Location Address:

Address: 40 WRIGHT STREET
Palmer, MA 01069
Phone Number: 4133705400
Fax Number:

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any):
State: MA

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About Arthur C. Sgalia JR.

Arthur C. Sgalia JR.( ARTHUR C. SGALIA JR.) is A Internal Medicine Physician in Palmer, MA. The NPI Number for Arthur C. Sgalia JR. is 1104815695.
The current location address for Arthur C. Sgalia JR. is 40 WRIGHT STREET Palmer, MA 01069 and the contact number is 4137945700 and fax number is . The mailing address for Arthur C. Sgalia JR. is 280 CHESTNUT ST FL 2 Springfield, MA 01199- 4133705400 (mailing address contact number - 4137945700).
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Arthur C. Sgalia JR.?


Answer: The NPI Number for Arthur C. Sgalia JR. is 1104815695

Where is Arthur C. Sgalia JR. located?


Answer: Arthur C. Sgalia JR. is located at 40 WRIGHT STREET Palmer, MA 01069.

What is the specialty for Arthur C. Sgalia JR.?


Answer: The Specialty of Arthur C. Sgalia JR. is A Internal Medicine Physician.

Are there any online reviews for Arthur C. Sgalia JR.?


Answer: Yes! Check It Now.

Are there any other health care providers in Palmer, MA?


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 Arthur C. Sgalia JR.

Number of HCPCS 17
Number of Medicare Beneficiaries 247
Number of Services 525
Total Submitted Charge Amount 110965
Total Medicare Allowed Amount 48996.11
Total Medicare Payment Amount 35569.76
Total Medicare Standardized Payment Amount 34079.95
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 17
Number of Medicare Beneficiaries With Medical 247
Number of Medical Services 525
Total Medical Submitted Charge Amount 110965
Total Medical Medicare Allowed Amount 48996.11
Total Medical Medicare Payment Amount 35569.76
Total Medical Medicare Standardized Payment Amount 34079.95
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 42
Number of Beneficiaries Age 65 to 74 104
Number of Beneficiaries Age 75 to 84 71
Number of Beneficiaries Age Greater 84 30
Number of Female Beneficiaries 99
Number of Male Beneficiaries 148
Number of Non-Hispanic White Beneficiaries 230
Number of Black or African American Beneficiaries
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 64
Number of Beneficiaries With Medicare Only Entitlement 183
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.18
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.14
Percent (%) of Beneficiaries Identified With Asthma 0.16
Percent (%) of Beneficiaries Identified With Cancer 0.13
Percent (%) of Beneficiaries Identified With Heart Failure 0.21
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.36
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.24
Percent (%) of Beneficiaries Identified With Depression 0.27
Percent (%) of Beneficiaries Identified With Diabetes 0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.64
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.33
Percent (%) of Beneficiaries Identified With Osteoporosis 0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.41
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.05
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.4093

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 Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 3499
Number of Standardized 30-Day Fills 8093.7666667
Aggregate Cost Paid for All Claims 273523.92
Number of Day's Supply for All Claims 237751
Number of Medicare Beneficiaries 351
Number of Claims, Including Refills, for Beneficiaries Age 65+ 3029
Including Refills, for Beneficiaries Age 65+ 7224.7
Beneficiaries Age 65+ 246669.6
Number of Day's Supply for All Claims for Beneficaries Age 65+ 213016
Number of Medicare Beneficiaries Age 65+ 288
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 494
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 2989
Aggregate Cost Paid for Generic Drugs 90402.28
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 16
Aggregate Cost Paid for Other Drugs 1134.42
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1226
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 89519.66
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2273
Aggregate Cost Paid for Claims Filled by 184004.26
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1055
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 82021.89
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 2444
by Low-Income Subsidy 191502.03
Total Claims of Opioid Drugs, Including 111
Aggregate Cost Paid for Opioid Drugs 1679.72
Opioid Claims 29
Opioid_Tot_Clms divided by the Tot_Clms 3.1723349528
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 74
Aggregate Cost Paid for Antibiotic Drugs 1231.05
Antibiotic Claims 45
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 71.427350427
Number of Beneficiaries Age Less Than 65 63
Number of Beneficiaries Age 65 to 74 153
Number of Beneficiaries Age 75 to 84 97
Number of Female Beneficiaries 136
Number of Male Beneficiaries 215
Number of Non-Hispanic White 320
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 15
Only Entitlement 249
Average Hierarchical Condition Category 1.3030076983

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