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Brent Jacobsen

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NPI Number Detailed Information

Provider Information:

Name: Brent Jacobsen
Gender: M
Provider License Number If Given: 20A8142

NPI Information:

NPI: 1790890465
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/20/2006

Last Update Date: 11/6/2007

Reputation Report:

Provider Business Mailing Address:

Address: 2100 POWELL ST SUITE 900
Emeryville, CA 94608
Phone Number: 5103502600
Fax Number: 5108799100

Provider Business Practice Location Address:

Address: 36485 INLAND VALLEY DR
Wildomar, CA 92595
Phone Number: 9096779773
Fax Number:

Provider Taxonomy:

Primary: 207P00000X
Secondary (if any):
State: CA

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About Brent Jacobsen

Brent Jacobsen ( BRENT JACOBSEN ) is An Emergency Medicine Physician in Wildomar, CA. The NPI Number for Brent Jacobsen is 1790890465.
The current location address for Brent Jacobsen is 36485 INLAND VALLEY DR Wildomar, CA 92595 and the contact number is 5103502600 and fax number is 5108799100. The mailing address for Brent Jacobsen is 2100 POWELL ST SUITE 900 Emeryville, CA 94608- 9096779773 (mailing address contact number - 5103502600).
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Provider Business Location on Map

FAQs:

What is the NPI Number for Brent Jacobsen ?


Answer: The NPI Number for Brent Jacobsen is 1790890465

Where is Brent Jacobsen located?


Answer: Brent Jacobsen is located at 36485 INLAND VALLEY DR Wildomar, CA 92595.

What is the specialty for Brent Jacobsen ?


Answer: The Specialty of Brent Jacobsen is An Emergency Medicine Physician.

Are there any online reviews for Brent Jacobsen ?


Answer: Yes! Check It Now.

Are there any other health care providers in Wildomar, CA?


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 Brent Jacobsen

Number of HCPCS 14
Number of Medicare Beneficiaries 196
Number of Services 265
Total Submitted Charge Amount 399450
Total Medicare Allowed Amount 34822.82
Total Medicare Payment Amount 29624.53
Total Medicare Standardized Payment Amount 27968.69
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 14
Number of Medicare Beneficiaries With Medical 196
Number of Medical Services 265
Total Medical Submitted Charge Amount 399450
Total Medical Medicare Allowed Amount 34822.82
Total Medical Medicare Payment Amount 29624.53
Total Medical Medicare Standardized Payment Amount 27968.69
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 34
Number of Beneficiaries Age 65 to 74 62
Number of Beneficiaries Age 75 to 84 61
Number of Beneficiaries Age Greater 84 39
Number of Female Beneficiaries 109
Number of Male Beneficiaries 87
Number of Non-Hispanic White Beneficiaries 122
Number of Black or African American Beneficiaries 20
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 31
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 81
Number of Beneficiaries With Medicare Only Entitlement 115
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.18
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.28
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.37
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.52
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.22
Percent (%) of Beneficiaries Identified With Depression 0.31
Percent (%) of Beneficiaries Identified With Diabetes 0.45
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.62
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.49
Percent (%) of Beneficiaries Identified With Osteoporosis 0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.51
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.07
Percent (%) of Beneficiaries Identified With Stroke 0.13
Average HCC Risk Score of Beneficiaries 2.0107

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 Emergency Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 155
Number of Standardized 30-Day Fills 156.1
Aggregate Cost Paid for All Claims 2820.03
Number of Day's Supply for All Claims 1213
Number of Medicare Beneficiaries 109
Number of Claims, Including Refills, for Beneficiaries Age 65+ 127
Including Refills, for Beneficiaries Age 65+ 128.1
Beneficiaries Age 65+ 2318
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1000
Number of Medicare Beneficiaries Age 65+ 90
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 13
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 142
Aggregate Cost Paid for Generic Drugs 1118.16
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 111
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 2273.26
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 44
Aggregate Cost Paid for Claims Filled by 546.77
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 73
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 983.22
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 82
by Low-Income Subsidy 1836.81
Total Claims of Opioid Drugs, Including 27
Aggregate Cost Paid for Opioid Drugs 147.39
Opioid Claims 27
Opioid_Tot_Clms divided by the Tot_Clms 17.419354839
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 30
Aggregate Cost Paid for Antibiotic Drugs 254.63
Antibiotic Claims 28
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 71.174311927
Number of Beneficiaries Age Less Than 65 19
Number of Beneficiaries Age 65 to 74 47
Number of Beneficiaries Age 75 to 84 32
Number of Female Beneficiaries 66
Number of Male Beneficiaries 43
Number of Non-Hispanic White 58
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 35
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 63
Average Hierarchical Condition Category 1.8070996866

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