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Dr. Ivan Fomitchev

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NPI Number Detailed Information

Provider Information:

Name: Dr. Ivan Fomitchev
Gender: M
Provider License Number If Given: 34875

NPI Information:

NPI: 1699742312
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/1/2006

Last Update Date: 5/19/2021

Reputation Report:

Provider Business Mailing Address:

Address: 8711 WALES RESERVE
San Antonio, TX 78255
Phone Number: 5635641283
Fax Number:

Provider Business Practice Location Address:

Address: 8711 WALES RESERVE
San Antonio, TX 78255
Phone Number: 5635641283
Fax Number:

Provider Taxonomy:

Primary: 208VP0000X
Secondary (if any): 207L00000X
State: TX

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About Dr. Ivan Fomitchev

Dr. Ivan Fomitchev (DR. IVAN FOMITCHEV ) is Pain Pain Medicine Physician in San Antonio, TX. The NPI Number for Dr. Ivan Fomitchev is 1699742312.
The current location address for Dr. Ivan Fomitchev is 8711 WALES RESERVE San Antonio, TX 78255 and the contact number is 5635641283 and fax number is . The mailing address for Dr. Ivan Fomitchev is 8711 WALES RESERVE San Antonio, TX 78255- 5635641283 (mailing address contact number - 5635641283).
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Ivan Fomitchev ?


Answer: The NPI Number for Dr. Ivan Fomitchev is 1699742312

Where is Dr. Ivan Fomitchev located?


Answer: Dr. Ivan Fomitchev is located at 8711 WALES RESERVE San Antonio, TX 78255.

What is the specialty for Dr. Ivan Fomitchev ?


Answer: The Specialty of Dr. Ivan Fomitchev is Pain Pain Medicine Physician.

Are there any online reviews for Dr. Ivan Fomitchev ?


Answer: Yes! Check It Now.

Are there any other health care providers in San Antonio, TX?


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. Ivan Fomitchev

Number of HCPCS 29
Number of Medicare Beneficiaries 54
Number of Services 76
Total Submitted Charge Amount 93357.5
Total Medicare Allowed Amount 8310.57
Total Medicare Payment Amount 6598.73
Total Medicare Standardized Payment Amount 6362.53
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 74
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 23
Number of Beneficiaries Age 75 to 84 18
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 24
Number of Male Beneficiaries 30
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 0.37
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.3
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.41
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.54
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.3
Percent (%) of Beneficiaries Identified With Depression 0.52
Percent (%) of Beneficiaries Identified With Diabetes 0.48
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.56
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.43
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 2.4928

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 Anesthesiology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 136
Number of Standardized 30-Day Fills 166.93333333
Aggregate Cost Paid for All Claims 11401.84
Number of Day's Supply for All Claims 4886
Number of Medicare Beneficiaries 55
Number of Claims, Including Refills, for Beneficiaries Age 65+ 74
Including Refills, for Beneficiaries Age 65+ 84.333333333
Beneficiaries Age 65+ 3143.35
Number of Day's Supply for All Claims for Beneficaries Age 65+ 2439
Number of Medicare Beneficiaries Age 65+ 32
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 127
Aggregate Cost Paid for Generic Drugs 5293.65
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 89
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 8563.26
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 47
Aggregate Cost Paid for Claims Filled by 2838.58
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 62
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 8344.45
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 74
by Low-Income Subsidy 3057.39
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 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
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 66.036363636
Number of Beneficiaries Age Less Than 65 23
Number of Beneficiaries Age 65 to 74 15
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 42
Number of Male Beneficiaries 13
Number of Non-Hispanic White 28
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 23
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 0
Only Entitlement 34
Average Hierarchical Condition Category 1.4571

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