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Glen S O'Sullivan

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NPI Number Detailed Information

Provider Information:

Name: Glen S O'Sullivan
Gender: M
Provider License Number If Given: A44219

NPI Information:

NPI: 1972504652
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/3/2005

Last Update Date: 11/23/2010

Provider Business Mailing Address:

Address: 635 LASSEN LN
Mount Shasta, CA 96067
Phone Number: 8666683597
Fax Number: 8663016641

Provider Business Practice Location Address:

Address: 635 LASSEN LN
Mount Shasta, CA 96067
Phone Number: 8666683597
Fax Number: 8663016641

Provider Taxonomy:

Primary: 174400000X
Secondary (if any):
State: CA

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About Glen S O'Sullivan

Glen S O'Sullivan ( GLEN S O'SULLIVAN ) is An Specialist Physician in Mount Shasta, CA. The NPI Number for Glen S O'Sullivan is 1972504652.
The current location address for Glen S O'Sullivan is 635 LASSEN LN Mount Shasta, CA 96067 and the contact number is 8666683597 and fax number is 8663016641. The mailing address for Glen S O'Sullivan is 635 LASSEN LN Mount Shasta, CA 96067- 8666683597 (mailing address contact number - 8666683597).
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider Business Location on Map

FAQs:

What is the NPI Number for Glen S O'Sullivan ?


Answer: The NPI Number for Glen S O'Sullivan is 1972504652

Where is Glen S O'Sullivan located?


Answer: Glen S O'Sullivan is located at 635 LASSEN LN Mount Shasta, CA 96067.

What is the specialty for Glen S O'Sullivan ?


Answer: The Specialty of Glen S O'Sullivan is An Specialist Physician.

Are there any online reviews for Glen S O'Sullivan ?


Answer: Not yet!

Are there any other health care providers in Mount Shasta, CA?


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 Glen S O'Sullivan

Number of HCPCS 145
Number of Medicare Beneficiaries 773
Number of Services 3299
Total Submitted Charge Amount 1112781.64
Total Medicare Allowed Amount 519110.75
Total Medicare Payment Amount 403541.83
Total Medicare Standardized Payment Amount 427378.85
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 3
Number of Medicare Beneficiaries With Drug Services 61
Number of Drug Services 390
Total Drug Submitted Charge Amount 6326
Total Drug Medicare Allowed Amount 2678.59
Total Drug Medicare Payment Amount 2144.83
Total Drug Medicare Standardized Payment Amount 2124.35
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 142
Number of Medicare Beneficiaries With Medical 773
Number of Medical Services 2909
Total Medical Submitted Charge Amount 1106455.64
Total Medical Medicare Allowed Amount 516432.16
Total Medical Medicare Payment Amount 401397
Total Medical Medicare Standardized Payment Amount 425254.5
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 104
Number of Beneficiaries Age 65 to 74 356
Number of Beneficiaries Age 75 to 84 257
Number of Beneficiaries Age Greater 84 56
Number of Female Beneficiaries 409
Number of Male Beneficiaries 364
Number of Non-Hispanic White Beneficiaries 725
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 24
Number of American Indian/Alaska Native Beneficiaries 11
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 130
Number of Beneficiaries With Medicare Only Entitlement 643
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.08
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.13
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.26
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.13
Percent (%) of Beneficiaries Identified With Depression 0.29
Percent (%) of Beneficiaries Identified With Diabetes 0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.48
Percent (%) of Beneficiaries Identified With Hypertension 0.58
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.29
Percent (%) of Beneficiaries Identified With Osteoporosis 0.1
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 0.02
Average HCC Risk Score of Beneficiaries 1.128

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 Orthopedic Surgery
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1495
Number of Standardized 30-Day Fills 2111.0666667
Aggregate Cost Paid for All Claims 23522.84
Number of Day's Supply for All Claims 50687
Number of Medicare Beneficiaries 459
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1223
Including Refills, for Beneficiaries Age 65+ 1799.2666667
Beneficiaries Age 65+ 18184.5
Number of Day's Supply for All Claims for Beneficaries Age 65+ 44100
Number of Medicare Beneficiaries Age 65+ 383
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 24
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1471
Aggregate Cost Paid for Generic Drugs 22660.91
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 399
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 7146
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1096
Aggregate Cost Paid for Claims Filled by 16376.84
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 476
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 7777.97
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1019
by Low-Income Subsidy 15744.87
Total Claims of Opioid Drugs, Including 274
Aggregate Cost Paid for Opioid Drugs 3196.55
Opioid Claims 124
Opioid_Tot_Clms divided by the Tot_Clms 18.327759197
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 26
Aggregate Cost Paid for Antibiotic Drugs 227.02
Antibiotic Claims 23
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 71.368191721
Number of Beneficiaries Age Less Than 65 76
Number of Beneficiaries Age 65 to 74 219
Number of Beneficiaries Age 75 to 84 146
Number of Female Beneficiaries 266
Number of Male Beneficiaries 193
Number of Non-Hispanic White 429
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 16
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 347
Average Hierarchical Condition Category 1.0107294844

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