Ebony Montezz Graham

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NPI Number Detailed Information

Provider Information:

Name:	Ebony Montezz Graham
Gender:	F
Provider License Number If Given:	60162

NPI Information:

NPI:	1336629518
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	8/17/2018
Last Update Date:	4/2/2021

Provider Business Mailing Address:

Address:	611 N IRON BRIDGE WAY Spokane, WA 99202
Phone Number:	5094448888
Fax Number:

Provider Business Practice Location Address:

Address:	15812 E INDIANA AVE STE 101 Spokane Valley, WA 99216
Phone Number:	5094448200
Fax Number:	5094447806

Provider Taxonomy:

Primary:	363L00000X
Secondary (if any):	363L00000X
State:	WA

Top Doctors in WA

About Ebony Montezz Graham

Ebony Montezz Graham ( EBONY MONTEZZ GRAHAM ) is (1) Nurse Practitioner Physician in Spokane Valley, WA. The NPI Number for Ebony Montezz Graham is 1336629518.

The current location address for Ebony Montezz Graham is 15812 E INDIANA AVE STE 101 Spokane Valley, WA 99216 and the contact number is 5094448888 and fax number is . The mailing address for Ebony Montezz Graham is 611 N IRON BRIDGE WAY Spokane, WA 99202- 5094448200 (mailing address contact number - 5094448888).

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Provider Business Location on Map

FAQs:

What is the NPI Number for Ebony Montezz Graham ?

Answer: The NPI Number for Ebony Montezz Graham is 1336629518

Where is Ebony Montezz Graham located?

Answer: Ebony Montezz Graham is located at 15812 E INDIANA AVE STE 101 Spokane Valley, WA 99216.

What is the specialty for Ebony Montezz Graham ?

Answer: The Specialty of Ebony Montezz Graham is (1) Nurse Practitioner Physician.

Are there any online reviews for Ebony Montezz Graham ?

Answer: Not yet!

Are there any other health care providers in Spokane Valley, WA?

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 Ebony Montezz Graham

Number of HCPCS	7
Number of Medicare Beneficiaries	13
Number of Services	17
Total Submitted Charge Amount	544.65
Total Medicare Allowed Amount	141.06
Total Medicare Payment Amount	131.77
Total Medicare Standardized Payment Amount	127.49
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	7
Number of Medicare Beneficiaries With Medical	13
Number of Medical Services	17
Total Medical Submitted Charge Amount	544.65
Total Medical Medicare Allowed Amount	141.06
Total Medical Medicare Payment Amount	131.77
Total Medical Medicare Standardized Payment Amount	127.49
Average Age of Beneficiaries	58
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84	0
Number of Female Beneficiaries
Number of Male Beneficiaries
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
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer	0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis	0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke	0
Average HCC Risk Score of Beneficiaries	0.8619

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	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	3260
Number of Standardized 30-Day Fills	4534.7333333
Aggregate Cost Paid for All Claims	252079.57
Number of Day's Supply for All Claims	127467
Number of Medicare Beneficiaries	226
Number of Claims, Including Refills, for Beneficiaries Age 65+	1795
Including Refills, for Beneficiaries Age 65+	2693.7666667
Beneficiaries Age 65+	122318.49
Number of Day's Supply for All Claims for Beneficaries Age 65+	77116
Number of Medicare Beneficiaries Age 65+	132
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	462
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	2783
Aggregate Cost Paid for Generic Drugs	60698.62
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	15
Aggregate Cost Paid for Other Drugs	471.73
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	2061
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	155681.72
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	1199
Aggregate Cost Paid for Claims Filled by	96397.85
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	2459
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	182295.5
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	801
by Low-Income Subsidy	69784.07
Total Claims of Opioid Drugs, Including	86
Aggregate Cost Paid for Opioid Drugs	1229.94
Opioid Claims	30
Opioid_Tot_Clms divided by the Tot_Clms	2.6380368098
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	53
Aggregate Cost Paid for Antibiotic Drugs	21271.65
Antibiotic Claims	30
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	63.203539823
Number of Beneficiaries Age Less Than 65	94
Number of Beneficiaries Age 65 to 74	101
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	136
Number of Male Beneficiaries	90
Number of Non-Hispanic White	200
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement	87
Average Hierarchical Condition Category	1.2269042105

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