Ms. Jean Marie Decavitch

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NPI Number Detailed Information

Provider Information:

Name:	Ms. Jean Marie Decavitch
Gender:	F
Provider License Number If Given:	28125157A

NPI Information:

NPI:	1982956017
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	10/13/2012
Last Update Date:	5/3/2023

Provider Business Mailing Address:

Address:	PO BOX 781076 Detroit, MI 48278
Phone Number:	3175284800
Fax Number:	3178651479

Provider Business Practice Location Address:

Address:	6831 W 133RD AVE Cedar Lake, IN 46303
Phone Number:	2193745970
Fax Number:	2193747505

Provider Taxonomy:

Primary:	363LF0000X
Secondary (if any):	363LF0000X
State:	IN

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About Ms. Jean Marie Decavitch

Ms. Jean Marie Decavitch (MS. JEAN MARIE DECAVITCH ) is Definition Nurse Practitioner Physician in Cedar Lake, IN. The NPI Number for Ms. Jean Marie Decavitch is 1982956017.

The current location address for Ms. Jean Marie Decavitch is 6831 W 133RD AVE Cedar Lake, IN 46303 and the contact number is 3175284800 and fax number is 3178651479. The mailing address for Ms. Jean Marie Decavitch is PO BOX 781076 Detroit, MI 48278- 2193745970 (mailing address contact number - 3175284800).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Ms. Jean Marie Decavitch ?

Answer: The NPI Number for Ms. Jean Marie Decavitch is 1982956017

Where is Ms. Jean Marie Decavitch located?

Answer: Ms. Jean Marie Decavitch is located at 6831 W 133RD AVE Cedar Lake, IN 46303.

What is the specialty for Ms. Jean Marie Decavitch ?

Answer: The Specialty of Ms. Jean Marie Decavitch is Definition Nurse Practitioner Physician.

Are there any online reviews for Ms. Jean Marie Decavitch ?

Answer: Not yet!

Are there any other health care providers in Cedar Lake, 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 Ms. Jean Marie Decavitch

Number of HCPCS	27
Number of Medicare Beneficiaries	231
Number of Services	857
Total Submitted Charge Amount	158701
Total Medicare Allowed Amount	78835.06
Total Medicare Payment Amount	58598.36
Total Medicare Standardized Payment Amount	62445.79
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	3
Number of Medicare Beneficiaries With Drug Services	16
Number of Drug Services	18
Total Drug Submitted Charge Amount	919
Total Drug Medicare Allowed Amount	864.73
Total Drug Medicare Payment Amount	849.75
Total Drug Medicare Standardized Payment Amount	832.76
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	24
Number of Medicare Beneficiaries With Medical	231
Number of Medical Services	839
Total Medical Submitted Charge Amount	157782
Total Medical Medicare Allowed Amount	77970.33
Total Medical Medicare Payment Amount	57748.61
Total Medical Medicare Standardized Payment Amount	61613.03
Average Age of Beneficiaries	71
Number of Beneficiaries Age Less 65	36
Number of Beneficiaries Age 65 to 74	119
Number of Beneficiaries Age 75 to 84	62
Number of Beneficiaries Age Greater 84	14
Number of Female Beneficiaries	142
Number of Male Beneficiaries	89
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	31
Number of Beneficiaries With Medicare Only Entitlement	200
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.05
Percent (%) of Beneficiaries Identified With Asthma
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	0.22
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.22
Percent (%) of Beneficiaries Identified With Depression	0.35
Percent (%) of Beneficiaries Identified With Diabetes	0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.44
Percent (%) of Beneficiaries Identified With Hypertension	0.63
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.29
Percent (%) of Beneficiaries Identified With Osteoporosis	0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.38
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.06
Average HCC Risk Score of Beneficiaries	1.0635

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	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	4998
Number of Standardized 30-Day Fills	9825.6666667
Aggregate Cost Paid for All Claims	400254.1
Number of Day's Supply for All Claims	286939
Number of Medicare Beneficiaries	329
Number of Claims, Including Refills, for Beneficiaries Age 65+	3784
Including Refills, for Beneficiaries Age 65+	7839.8
Beneficiaries Age 65+	278070.65
Number of Day's Supply for All Claims for Beneficaries Age 65+	229710
Number of Medicare Beneficiaries Age 65+	272
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	716
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	4239
Aggregate Cost Paid for Generic Drugs	100618.58
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	43
Aggregate Cost Paid for Other Drugs	2718.1
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	2460
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	213095.44
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	2538
Aggregate Cost Paid for Claims Filled by	187158.66
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1730
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	182187.67
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	3268
by Low-Income Subsidy	218066.43
Total Claims of Opioid Drugs, Including	459
Aggregate Cost Paid for Opioid Drugs	15352.68
Opioid Claims	59
Opioid_Tot_Clms divided by the Tot_Clms	9.1836734694
Total Claims of Long-Acting Opioid Drugs	23
Aggregate Cost Paid for Long-Acting Opioid	2823.12
Number of Day's Supply of All Long-Acting	690
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the	5.0108932462
Total Claims of Antibiotic Drugs, Including	117
Aggregate Cost Paid for Antibiotic Drugs	37060.77
Antibiotic Claims	80
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	70.917933131
Number of Beneficiaries Age Less Than 65	57
Number of Beneficiaries Age 65 to 74	162
Number of Beneficiaries Age 75 to 84	85
Number of Female Beneficiaries	204
Number of Male Beneficiaries	125
Number of Non-Hispanic White	313
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	266
Average Hierarchical Condition Category	1.222745694

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