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Jason Lee Blackham

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NPI Number Detailed Information

Provider Information:

Name: Jason Lee Blackham
Gender: M
Provider License Number If Given: 7216493-1205

NPI Information:

NPI: 1821293242
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/16/2007

Last Update Date: 9/22/2011

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 27128
Salt Lake City, UT 84127
Phone Number: 8013872750
Fax Number: 8013872755

Provider Business Practice Location Address:

Address: 4403 HARRISON BLVD SUITE 2400
Ogden, UT 84403
Phone Number: 8013872750
Fax Number: 8013872755

Provider Taxonomy:

Primary: 207RS0010X
Secondary (if any):
State: UT

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About Jason Lee Blackham

Jason Lee Blackham ( JASON LEE BLACKHAM ) is An Internal Medicine Physician in Ogden, UT. The NPI Number for Jason Lee Blackham is 1821293242.
The current location address for Jason Lee Blackham is 4403 HARRISON BLVD SUITE 2400 Ogden, UT 84403 and the contact number is 8013872750 and fax number is 8013872755. The mailing address for Jason Lee Blackham is PO BOX 27128 Salt Lake City, UT 84127- 8013872750 (mailing address contact number - 8013872750).
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jason Lee Blackham ?


Answer: The NPI Number for Jason Lee Blackham is 1821293242

Where is Jason Lee Blackham located?


Answer: Jason Lee Blackham is located at 4403 HARRISON BLVD SUITE 2400 Ogden, UT 84403.

What is the specialty for Jason Lee Blackham ?


Answer: The Specialty of Jason Lee Blackham is An Internal Medicine Physician.

Are there any online reviews for Jason Lee Blackham ?


Answer: Yes! Check It Now.

Are there any other health care providers in Ogden, UT?


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 Jason Lee Blackham

Number of HCPCS 36
Number of Medicare Beneficiaries 253
Number of Services 1369
Total Submitted Charge Amount 156991
Total Medicare Allowed Amount 90646.08
Total Medicare Payment Amount 66697.84
Total Medicare Standardized Payment Amount 69350.72
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 108
Number of Drug Services 477
Total Drug Submitted Charge Amount 19247
Total Drug Medicare Allowed Amount 11195.29
Total Drug Medicare Payment Amount 8307.87
Total Drug Medicare Standardized Payment Amount 8538.73
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 32
Number of Medicare Beneficiaries With Medical 253
Number of Medical Services 892
Total Medical Submitted Charge Amount 137744
Total Medical Medicare Allowed Amount 79450.79
Total Medical Medicare Payment Amount 58389.97
Total Medical Medicare Standardized Payment Amount 60811.99
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 14
Number of Beneficiaries Age 65 to 74 122
Number of Beneficiaries Age 75 to 84 87
Number of Beneficiaries Age Greater 84 30
Number of Female Beneficiaries 142
Number of Male Beneficiaries 111
Number of Non-Hispanic White Beneficiaries 230
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 23
Number of Beneficiaries With Medicare Only Entitlement 230
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.07
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.14
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.32
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.06
Percent (%) of Beneficiaries Identified With Depression 0.3
Percent (%) of Beneficiaries Identified With Diabetes 0.23
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.46
Percent (%) of Beneficiaries Identified With Hypertension 0.57
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.25
Percent (%) of Beneficiaries Identified With Osteoporosis 0.14
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.68
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.0319

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 Sports Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 119
Number of Standardized 30-Day Fills 141.1
Aggregate Cost Paid for All Claims 1419.27
Number of Day's Supply for All Claims 3954
Number of Medicare Beneficiaries 72
Number of Claims, Including Refills, for Beneficiaries Age 65+ 101
Including Refills, for Beneficiaries Age 65+ 123.1
Beneficiaries Age 65+ 1268.01
Number of Day's Supply for All Claims for Beneficaries Age 65+ 3478
Number of Medicare Beneficiaries Age 65+ 59
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 118
Aggregate Cost Paid for Generic Drugs 1394.77
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 59
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 682.6
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 60
Aggregate Cost Paid for Claims Filled by 736.67
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 12
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 105.78
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 107
by Low-Income Subsidy 1313.49
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 68.402777778
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 43
Number of Beneficiaries Age 75 to 84 13
Number of Female Beneficiaries 45
Number of Male Beneficiaries 27
Number of Non-Hispanic White 63
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 0.8739444444

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