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Dr. John H Upshaw JR.

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NPI Number Detailed Information

Provider Information:

Name: Dr. John H Upshaw JR.
Gender: M
Provider License Number If Given: MD.023910.R

NPI Information:

NPI: 1598770869
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/29/2006

Last Update Date: 4/28/2022

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 122525 DEPT 2525
Dallas, TX 75312
Phone Number: 3374942921
Fax Number: 3374946523

Provider Business Practice Location Address:

Address: 2770 3RD AVE STE 240
Lake Charles, LA 70601
Phone Number: 3374944656
Fax Number: 3374944657

Provider Taxonomy:

Primary: 208800000X
Secondary (if any):
State: LA

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About Dr. John H Upshaw JR.

Dr. John H Upshaw JR.(DR. JOHN H UPSHAW JR.) is A Urology Physician in Lake Charles, LA. The NPI Number for Dr. John H Upshaw JR. is 1598770869.
The current location address for Dr. John H Upshaw JR. is 2770 3RD AVE STE 240 Lake Charles, LA 70601 and the contact number is 3374942921 and fax number is 3374946523. The mailing address for Dr. John H Upshaw JR. is PO BOX 122525 DEPT 2525 Dallas, TX 75312- 3374944656 (mailing address contact number - 3374942921).
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. John H Upshaw JR.?


Answer: The NPI Number for Dr. John H Upshaw JR. is 1598770869

Where is Dr. John H Upshaw JR. located?


Answer: Dr. John H Upshaw JR. is located at 2770 3RD AVE STE 240 Lake Charles, LA 70601.

What is the specialty for Dr. John H Upshaw JR.?


Answer: The Specialty of Dr. John H Upshaw JR. is A Urology Physician.

Are there any online reviews for Dr. John H Upshaw JR.?


Answer: Yes! Check It Now.

Are there any other health care providers in Lake Charles, LA?


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. John H Upshaw JR.

Number of HCPCS 84
Number of Medicare Beneficiaries 896
Number of Services 39041
Total Submitted Charge Amount 1030489.61
Total Medicare Allowed Amount 340850.6
Total Medicare Payment Amount 253114.99
Total Medicare Standardized Payment Amount 264304.94
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 8
Number of Medicare Beneficiaries With Drug Services 96
Number of Drug Services 34622
Total Drug Submitted Charge Amount 163397.2
Total Drug Medicare Allowed Amount 45378.17
Total Drug Medicare Payment Amount 36001.8
Total Drug Medicare Standardized Payment Amount 35307.75
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 76
Number of Medicare Beneficiaries With Medical 896
Number of Medical Services 4419
Total Medical Submitted Charge Amount 867092.41
Total Medical Medicare Allowed Amount 295472.43
Total Medical Medicare Payment Amount 217113.19
Total Medical Medicare Standardized Payment Amount 228997.19
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 69
Number of Beneficiaries Age 65 to 74 428
Number of Beneficiaries Age 75 to 84 305
Number of Beneficiaries Age Greater 84 94
Number of Female Beneficiaries 95
Number of Male Beneficiaries 801
Number of Non-Hispanic White Beneficiaries 726
Number of Black or African American Beneficiaries 139
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 16
Number of Beneficiaries With Medicare & Medicaid Entitlement 91
Number of Beneficiaries With Medicare Only Entitlement 805
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.14
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.25
Percent (%) of Beneficiaries Identified With Heart Failure 0.17
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.37
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.11
Percent (%) of Beneficiaries Identified With Depression 0.13
Percent (%) of Beneficiaries Identified With Diabetes 0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.64
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.42
Percent (%) of Beneficiaries Identified With Osteoporosis 0.03
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.37
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.02
Percent (%) of Beneficiaries Identified With Stroke 0.05
Average HCC Risk Score of Beneficiaries 1.0571

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 Urology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 2386
Number of Standardized 30-Day Fills 5508.1
Aggregate Cost Paid for All Claims 335256.23
Number of Day's Supply for All Claims 155062
Number of Medicare Beneficiaries 575
Number of Claims, Including Refills, for Beneficiaries Age 65+ 2190
Including Refills, for Beneficiaries Age 65+ 5102.8333333
Beneficiaries Age 65+ 313040.79
Number of Day's Supply for All Claims for Beneficaries Age 65+ 144461
Number of Medicare Beneficiaries Age 65+ 521
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 2234
Aggregate Cost Paid for Generic Drugs 52008.02
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 808
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 240661.06
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1578
Aggregate Cost Paid for Claims Filled by 94595.17
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 397
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 120818.05
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1989
by Low-Income Subsidy 214438.18
Total Claims of Opioid Drugs, Including 58
Aggregate Cost Paid for Opioid Drugs 281.8
Opioid Claims 54
Opioid_Tot_Clms divided by the Tot_Clms 2.4308466052
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 271
Aggregate Cost Paid for Antibiotic Drugs 2713.86
Antibiotic Claims 168
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 73.942608696
Number of Beneficiaries Age Less Than 65 54
Number of Beneficiaries Age 65 to 74 253
Number of Beneficiaries Age 75 to 84 207
Number of Female Beneficiaries 49
Number of Male Beneficiaries 526
Number of Non-Hispanic White 454
Number of Black or African American 108
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 482
Average Hierarchical Condition Category 1.0541246221

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