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Carey Eugene Ellis

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NPI Number Detailed Information

Provider Information:

Name: Carey Eugene Ellis
Gender: M
Provider License Number If Given: 036-110022

NPI Information:

NPI: 1316955099
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/4/2006

Last Update Date: 4/6/2016

Reputation Report:

Provider Business Mailing Address:

Address: 400 S KENNEDY DR
Bradley, IL 60915
Phone Number: 8159288050
Fax Number: 8159289858

Provider Business Practice Location Address:

Address: 400 S KENNEDY DR
Bradley, IL 60915
Phone Number: 8159288050
Fax Number: 8159289858

Provider Taxonomy:

Primary: 207QS0010X
Secondary (if any):
State: IL

Top Doctors in IL

 

About Carey Eugene Ellis

Carey Eugene Ellis ( CAREY EUGENE ELLIS ) is A Family Medicine Physician in Bradley, IL. The NPI Number for Carey Eugene Ellis is 1316955099.
The current location address for Carey Eugene Ellis is 400 S KENNEDY DR Bradley, IL 60915 and the contact number is 8159288050 and fax number is 8159289858. The mailing address for Carey Eugene Ellis is 400 S KENNEDY DR Bradley, IL 60915- 8159288050 (mailing address contact number - 8159288050).
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Provider Business Location on Map

FAQs:

What is the NPI Number for Carey Eugene Ellis ?


Answer: The NPI Number for Carey Eugene Ellis is 1316955099

Where is Carey Eugene Ellis located?


Answer: Carey Eugene Ellis is located at 400 S KENNEDY DR Bradley, IL 60915.

What is the specialty for Carey Eugene Ellis ?


Answer: The Specialty of Carey Eugene Ellis is A Family Medicine Physician.

Are there any online reviews for Carey Eugene Ellis ?


Answer: Yes! Check It Now.

Are there any other health care providers in Bradley, IL?


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 Carey Eugene Ellis

Number of HCPCS 77
Number of Medicare Beneficiaries 341
Number of Services 6198
Total Submitted Charge Amount 590677.87
Total Medicare Allowed Amount 166491.55
Total Medicare Payment Amount 126671.23
Total Medicare Standardized Payment Amount 128716.56
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 6
Number of Medicare Beneficiaries With Drug Services 240
Number of Drug Services 4839
Total Drug Submitted Charge Amount 60602
Total Drug Medicare Allowed Amount 32338.89
Total Drug Medicare Payment Amount 25997.14
Total Drug Medicare Standardized Payment Amount 25480.01
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 71
Number of Medicare Beneficiaries With Medical 341
Number of Medical Services 1359
Total Medical Submitted Charge Amount 530075.87
Total Medical Medicare Allowed Amount 134152.66
Total Medical Medicare Payment Amount 100674.09
Total Medical Medicare Standardized Payment Amount 103236.55
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 48
Number of Beneficiaries Age 65 to 74 151
Number of Beneficiaries Age 75 to 84 107
Number of Beneficiaries Age Greater 84 35
Number of Female Beneficiaries 205
Number of Male Beneficiaries 136
Number of Non-Hispanic White Beneficiaries 304
Number of Black or African American Beneficiaries 19
Number of Asian Pacific Islander Beneficiaries 0
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 54
Number of Beneficiaries With Medicare Only Entitlement 287
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.12
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.06
Percent (%) of Beneficiaries Identified With Heart Failure 0.2
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.32
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.12
Percent (%) of Beneficiaries Identified With Depression 0.22
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 0.41
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
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 0.03
Average HCC Risk Score of Beneficiaries 1.2099

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 Sports Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 286
Number of Standardized 30-Day Fills 306
Aggregate Cost Paid for All Claims 3404.24
Number of Day's Supply for All Claims 5706
Number of Medicare Beneficiaries 155
Number of Claims, Including Refills, for Beneficiaries Age 65+ 216
Including Refills, for Beneficiaries Age 65+ 230
Beneficiaries Age 65+ 2229.08
Number of Day's Supply for All Claims for Beneficaries Age 65+ 4007
Number of Medicare Beneficiaries Age 65+ 126
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 281
Aggregate Cost Paid for Generic Drugs 3207.66
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 159
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 2042.68
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 127
Aggregate Cost Paid for Claims Filled by 1361.56
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 84
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 1347.56
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 202
by Low-Income Subsidy 2056.68
Total Claims of Opioid Drugs, Including 118
Aggregate Cost Paid for Opioid Drugs 906.46
Opioid Claims 87
Opioid_Tot_Clms divided by the Tot_Clms 41.258741259
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
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 70.974193548
Number of Beneficiaries Age Less Than 65 29
Number of Beneficiaries Age 65 to 74 77
Number of Beneficiaries Age 75 to 84 36
Number of Female Beneficiaries 102
Number of Male Beneficiaries 53
Number of Non-Hispanic White 125
Number of Black or African American 21
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 122
Average Hierarchical Condition Category 1.2340625904

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