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Jack Waxman

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NPI Number Detailed Information

Provider Information:

Name: Jack Waxman
Gender: M
Provider License Number If Given: G23398

NPI Information:

NPI: 1104824994
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/14/2005

Last Update Date: 1/11/2019

Reputation Report:

Provider Business Mailing Address:

Address: 3536 MENDOCINO AVE STE 200
Santa Rosa, CA 95403
Phone Number: 7075256485
Fax Number: 7075756038

Provider Business Practice Location Address:

Address: 1701 4TH ST STE 210
Santa Rosa, CA 95404
Phone Number: 7075736942
Fax Number: 7075756038

Provider Taxonomy:

Primary: 207RR0500X
Secondary (if any):
State: CA

Top Doctors in CA

 

About Jack Waxman

Jack Waxman ( JACK WAXMAN ) is An Internal Medicine Physician in Santa Rosa, CA. The NPI Number for Jack Waxman is 1104824994.
The current location address for Jack Waxman is 1701 4TH ST STE 210 Santa Rosa, CA 95404 and the contact number is 7075256485 and fax number is 7075756038. The mailing address for Jack Waxman is 3536 MENDOCINO AVE STE 200 Santa Rosa, CA 95403- 7075736942 (mailing address contact number - 7075256485).
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jack Waxman ?


Answer: The NPI Number for Jack Waxman is 1104824994

Where is Jack Waxman located?


Answer: Jack Waxman is located at 1701 4TH ST STE 210 Santa Rosa, CA 95404.

What is the specialty for Jack Waxman ?


Answer: The Specialty of Jack Waxman is An Internal Medicine Physician.

Are there any online reviews for Jack Waxman ?


Answer: Yes! Check It Now.

Are there any other health care providers in Santa Rosa, 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 Jack Waxman

Number of HCPCS 24
Number of Medicare Beneficiaries 454
Number of Services 14278
Total Submitted Charge Amount 715435
Total Medicare Allowed Amount 414578.25
Total Medicare Payment Amount 312494.34
Total Medicare Standardized Payment Amount 302540.7
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 11
Number of Medicare Beneficiaries With Drug Services 103
Number of Drug Services 13261
Total Drug Submitted Charge Amount 429940
Total Drug Medicare Allowed Amount 288843.51
Total Drug Medicare Payment Amount 226757.83
Total Drug Medicare Standardized Payment Amount 224982.56
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 13
Number of Medicare Beneficiaries With Medical 454
Number of Medical Services 1017
Total Medical Submitted Charge Amount 285495
Total Medical Medicare Allowed Amount 125734.74
Total Medical Medicare Payment Amount 85736.51
Total Medical Medicare Standardized Payment Amount 77558.14
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 47
Number of Beneficiaries Age 65 to 74 194
Number of Beneficiaries Age 75 to 84 164
Number of Beneficiaries Age Greater 84 49
Number of Female Beneficiaries 342
Number of Male Beneficiaries 112
Number of Non-Hispanic White Beneficiaries 394
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 28
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 14
Number of Beneficiaries With Medicare & Medicaid Entitlement 94
Number of Beneficiaries With Medicare Only Entitlement 360
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.1
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.08
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.17
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.2
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.12
Percent (%) of Beneficiaries Identified With Depression 0.22
Percent (%) of Beneficiaries Identified With Diabetes 0.14
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.53
Percent (%) of Beneficiaries Identified With Hypertension 0.55
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.29
Percent (%) of Beneficiaries Identified With Osteoporosis 0.31
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 0.04
Average HCC Risk Score of Beneficiaries 1.3133

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 Rheumatology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 2119
Number of Standardized 30-Day Fills 3248.8666667
Aggregate Cost Paid for All Claims 639405.12
Number of Day's Supply for All Claims 95966
Number of Medicare Beneficiaries 324
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1813
Including Refills, for Beneficiaries Age 65+ 2849.0333333
Beneficiaries Age 65+ 533584.4
Number of Day's Supply for All Claims for Beneficaries Age 65+ 84141
Number of Medicare Beneficiaries Age 65+ 282
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 1830
Aggregate Cost Paid for Generic Drugs 84491.13
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 372
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 103423.47
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1747
Aggregate Cost Paid for Claims Filled by 535981.65
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 725
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 476110.13
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1394
by Low-Income Subsidy 163294.99
Total Claims of Opioid Drugs, Including 96
Aggregate Cost Paid for Opioid Drugs 2500.06
Opioid Claims 25
Opioid_Tot_Clms divided by the Tot_Clms 4.5304388863
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
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
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 71.774691358
Number of Beneficiaries Age Less Than 65 42
Number of Beneficiaries Age 65 to 74 160
Number of Beneficiaries Age 75 to 84 102
Number of Female Beneficiaries 237
Number of Male Beneficiaries 87
Number of Non-Hispanic White 273
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 27
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 227
Average Hierarchical Condition Category 1.344756803

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