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Dr. Charles C Southerland

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NPI Number Detailed Information

Provider Information:

Name: Dr. Charles C Southerland
Gender: M
Provider License Number If Given: 9244891-0501

NPI Information:

NPI: 1306832944
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/20/2005

Last Update Date: 4/24/2020

Provider Business Mailing Address:

Address: 11300 NE 2ND AVENUE
Miami Shores, FL 33161
Phone Number: 3056937287
Fax Number: 3056949616

Provider Business Practice Location Address:

Address: 3435 E PONY EXPRESS PKWY STE 140
Eagle Mountain, UT 84005
Phone Number: 8018938811
Fax Number:

Provider Taxonomy:

Primary: 213ES0103X
Secondary (if any):
State: UT

Top Doctors in UT

 

About Dr. Charles C Southerland

Dr. Charles C Southerland (DR. CHARLES C SOUTHERLAND ) is Definition Podiatrist Physician in Eagle Mountain, UT. The NPI Number for Dr. Charles C Southerland is 1306832944.
The current location address for Dr. Charles C Southerland is 3435 E PONY EXPRESS PKWY STE 140 Eagle Mountain, UT 84005 and the contact number is 3056937287 and fax number is 3056949616. The mailing address for Dr. Charles C Southerland is 11300 NE 2ND AVENUE Miami Shores, FL 33161- 8018938811 (mailing address contact number - 3056937287).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Charles C Southerland ?


Answer: The NPI Number for Dr. Charles C Southerland is 1306832944

Where is Dr. Charles C Southerland located?


Answer: Dr. Charles C Southerland is located at 3435 E PONY EXPRESS PKWY STE 140 Eagle Mountain, UT 84005.

What is the specialty for Dr. Charles C Southerland ?


Answer: The Specialty of Dr. Charles C Southerland is Definition Podiatrist Physician.

Are there any online reviews for Dr. Charles C Southerland ?


Answer: Not yet!

Are there any other health care providers in Eagle Mountain, UT?


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 Dr. Charles C Southerland

Number of HCPCS 41
Number of Medicare Beneficiaries 75
Number of Services 788
Total Submitted Charge Amount 76309
Total Medicare Allowed Amount 42665.18
Total Medicare Payment Amount 34933.96
Total Medicare Standardized Payment Amount 35845.67
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 30
Number of Beneficiaries Age 75 to 84 24
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 33
Number of Male Beneficiaries 42
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.17
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 0.19
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.27
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.25
Percent (%) of Beneficiaries Identified With Diabetes 0.39
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.44
Percent (%) of Beneficiaries Identified With Hypertension 0.64
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.28
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.47
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.352

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 Podiatry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 61
Number of Standardized 30-Day Fills 64.733333333
Aggregate Cost Paid for All Claims 877.02
Number of Day's Supply for All Claims 1052
Number of Medicare Beneficiaries 34
Number of Claims, Including Refills, for Beneficiaries Age 65+ 47
Including Refills, for Beneficiaries Age 65+ 50.733333333
Beneficiaries Age 65+ 712.73
Number of Day's Supply for All Claims for Beneficaries Age 65+ 872
Number of Medicare Beneficiaries Age 65+
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 56
Aggregate Cost Paid for Generic Drugs 845.62
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 32
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 261.35
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 29
Aggregate Cost Paid for Claims Filled by 615.67
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst #
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
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 14
Aggregate Cost Paid for Antibiotic Drugs 207.67
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
Average Age of Beneficiaries 73.029411765
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 14
Number of Male Beneficiaries 20
Number of Non-Hispanic White 33
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 1.3595980392

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Dr. Charles C Southerland in Other Directories

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