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Dr. Charli Walter Leroy Smith JR.

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NPI Number Detailed Information

Provider Information:

Name: Dr. Charli Walter Leroy Smith JR.
Gender: M
Provider License Number If Given: 36139019

NPI Information:

NPI: 1649611252
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/11/2013

Last Update Date: 5/13/2022

Reputation Report:

Provider Business Mailing Address:

Address: 7209 MOAKE SCHOOL RD
Marion, IL 62959
Phone Number: 2624882395
Fax Number:

Provider Business Practice Location Address:

Address: 608 ROLLIE MOORE DR
Harrisburg, IL 62946
Phone Number: 6182526150
Fax Number:

Provider Taxonomy:

Primary: 2083P0011X
Secondary (if any): 207Q00000X
State: IL

Top Doctors in IL

 

About Dr. Charli Walter Leroy Smith JR.

Dr. Charli Walter Leroy Smith JR.(DR. CHARLI WALTER LEROY SMITH JR.) is A Preventive Medicine Physician in Harrisburg, IL. The NPI Number for Dr. Charli Walter Leroy Smith JR. is 1649611252.
The current location address for Dr. Charli Walter Leroy Smith JR. is 608 ROLLIE MOORE DR Harrisburg, IL 62946 and the contact number is 2624882395 and fax number is . The mailing address for Dr. Charli Walter Leroy Smith JR. is 7209 MOAKE SCHOOL RD Marion, IL 62959- 6182526150 (mailing address contact number - 2624882395).
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Charli Walter Leroy Smith JR.?


Answer: The NPI Number for Dr. Charli Walter Leroy Smith JR. is 1649611252

Where is Dr. Charli Walter Leroy Smith JR. located?


Answer: Dr. Charli Walter Leroy Smith JR. is located at 608 ROLLIE MOORE DR Harrisburg, IL 62946.

What is the specialty for Dr. Charli Walter Leroy Smith JR.?


Answer: The Specialty of Dr. Charli Walter Leroy Smith JR. is A Preventive Medicine Physician.

Are there any online reviews for Dr. Charli Walter Leroy Smith JR.?


Answer: Yes! Check It Now.

Are there any other health care providers in Harrisburg, 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 Dr. Charli Walter Leroy Smith JR.

Number of HCPCS 17
Number of Medicare Beneficiaries 31
Number of Services 276
Total Submitted Charge Amount 49559
Total Medicare Allowed Amount 17327.11
Total Medicare Payment Amount 13450.14
Total Medicare Standardized Payment Amount 13291.13
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 31
Number of Medical Services 276
Total Medical Submitted Charge Amount 49559
Total Medical Medicare Allowed Amount 17327.11
Total Medical Medicare Payment Amount 13450.14
Total Medical Medicare Standardized Payment Amount 13291.13
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 12
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 15
Number of Male Beneficiaries 16
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 14
Number of Beneficiaries With Medicare Only Entitlement 17
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 0.42
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.65
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes 0.52
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.52
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.75
Percent (%) of Beneficiaries Identified With Osteoporosis 0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.68
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 3.0275

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 Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 5401
Number of Standardized 30-Day Fills 9585.6
Aggregate Cost Paid for All Claims 503277.66
Number of Day's Supply for All Claims 272452
Number of Medicare Beneficiaries 332
Number of Claims, Including Refills, for Beneficiaries Age 65+ 4256
Including Refills, for Beneficiaries Age 65+ 7917.6333333
Beneficiaries Age 65+ 421611.34
Number of Day's Supply for All Claims for Beneficaries Age 65+ 226293
Number of Medicare Beneficiaries Age 65+ 269
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 873
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 4457
Aggregate Cost Paid for Generic Drugs 88199.28
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 71
Aggregate Cost Paid for Other Drugs 3694.23
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1848
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 180278.21
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 3553
Aggregate Cost Paid for Claims Filled by 322999.45
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1953
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 202094.61
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 3448
by Low-Income Subsidy 301183.05
Total Claims of Opioid Drugs, Including 323
Aggregate Cost Paid for Opioid Drugs 17900.82
Opioid Claims 70
Opioid_Tot_Clms divided by the Tot_Clms 5.9803740048
Total Claims of Long-Acting Opioid Drugs 65
Aggregate Cost Paid for Long-Acting Opioid 14294.05
Number of Day's Supply of All Long-Acting 1805
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 20.123839009
Total Claims of Antibiotic Drugs, Including 152
Aggregate Cost Paid for Antibiotic Drugs 1099.91
Antibiotic Claims 91
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 24
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 291.52
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 70.728915663
Number of Beneficiaries Age Less Than 65 63
Number of Beneficiaries Age 65 to 74 145
Number of Beneficiaries Age 75 to 84 94
Number of Female Beneficiaries 199
Number of Male Beneficiaries 133
Number of Non-Hispanic White 322
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 237
Average Hierarchical Condition Category 1.1354471499

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