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Deactivated

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NPI Number Detailed Information

Provider Information:

Name: Deactivated
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1881605160
Entity Type
(Individual or Organization):
0-org
Enumeration Date: 1/0/1900

Last Update Date: 1/0/1900

Provider Business Mailing Address:

Address:
,
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address:
,
Phone Number:
Fax Number:

Provider Taxonomy:

Primary: 0
Secondary (if any):
State:

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About Deactivated

Deactivated ( DEACTIVATED ) is Provider in , . The NPI Number for Deactivated is 1881605160.
The current location address for Deactivated is , and the contact number is and fax number is . The mailing address for Deactivated is , - (mailing address contact number - ).

Provider Business Location on Map

FAQs:

What is the NPI Number for Deactivated ?


Answer: The NPI Number for Deactivated is 1881605160

Where is Deactivated located?


Answer: Deactivated is located at , .

What is the specialty for Deactivated ?


Answer: The Specialty of Deactivated is Provider.

Are there any online reviews for Deactivated ?


Answer: Not yet!

Are there any other health care providers in , ?


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 Deactivated

Number of HCPCS 16
Number of Medicare Beneficiaries 111
Number of Services 445
Total Submitted Charge Amount 102429.32
Total Medicare Allowed Amount 52398.53
Total Medicare Payment Amount 36837.14
Total Medicare Standardized Payment Amount 32743.46
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 2
Number of Medicare Beneficiaries With Drug Services 22
Number of Drug Services 26
Total Drug Submitted Charge Amount 1175
Total Drug Medicare Allowed Amount 444.95
Total Drug Medicare Payment Amount 439.59
Total Drug Medicare Standardized Payment Amount 430.76
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 14
Number of Medicare Beneficiaries With Medical 111
Number of Medical Services 419
Total Medical Submitted Charge Amount 101254.32
Total Medical Medicare Allowed Amount 51953.58
Total Medical Medicare Payment Amount 36397.55
Total Medical Medicare Standardized Payment Amount 32312.7
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 51
Number of Beneficiaries Age 75 to 84 47
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 62
Number of Male Beneficiaries 49
Number of Non-Hispanic White Beneficiaries 83
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
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
Number of Beneficiaries With Medicare Only Entitlement
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
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.11
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes 0.39
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.39
Percent (%) of Beneficiaries Identified With Hypertension 0.41
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.24
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.41
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.7041

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 Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1219
Number of Standardized 30-Day Fills 2608.8666667
Aggregate Cost Paid for All Claims 260193.25
Number of Day's Supply for All Claims 76562
Number of Medicare Beneficiaries 119
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1205
Including Refills, for Beneficiaries Age 65+ 2580.8666667
Beneficiaries Age 65+ 259383.54
Number of Day's Supply for All Claims for Beneficaries Age 65+ 75802
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 1058
Aggregate Cost Paid for Generic Drugs 43227.35
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 546
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 56781.39
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 673
Aggregate Cost Paid for Claims Filled by 203411.86
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 118
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 14278.84
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1101
by Low-Income Subsidy 245914.41
Total Claims of Opioid Drugs, Including 49
Aggregate Cost Paid for Opioid Drugs 869.58
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 4.0196882691
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
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 34
Aggregate Cost Paid for Antibiotic Drugs 337.38
Antibiotic Claims 21
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 76.588235294
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 70
Number of Male Beneficiaries 49
Number of Non-Hispanic White 77
Number of Black or African American 23
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 108
Average Hierarchical Condition Category 0.8731420513

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