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Kellie Sprague

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NPI Number Detailed Information

Provider Information:

Name: Kellie Sprague
Gender: F
Provider License Number If Given: 154577

NPI Information:

NPI: 1942240585
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/8/2006

Last Update Date: 1/21/2021

Reputation Report:

Provider Business Mailing Address:

Address: 265 WESTERN AVE STE 2
South Portland, ME 04106
Phone Number: 2076610200
Fax Number:

Provider Business Practice Location Address:

Address: 265 WESTERN AVE STE 2
South Portland, ME 04106
Phone Number: 2076610200
Fax Number:

Provider Taxonomy:

Primary: 207RH0003X
Secondary (if any): 207RH0000X
State: ME

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About Kellie Sprague

Kellie Sprague ( KELLIE SPRAGUE ) is An Internal Medicine Physician in South Portland, ME. The NPI Number for Kellie Sprague is 1942240585.
The current location address for Kellie Sprague is 265 WESTERN AVE STE 2 South Portland, ME 04106 and the contact number is 2076610200 and fax number is . The mailing address for Kellie Sprague is 265 WESTERN AVE STE 2 South Portland, ME 04106- 2076610200 (mailing address contact number - 2076610200).
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Provider Business Location on Map

FAQs:

What is the NPI Number for Kellie Sprague ?


Answer: The NPI Number for Kellie Sprague is 1942240585

Where is Kellie Sprague located?


Answer: Kellie Sprague is located at 265 WESTERN AVE STE 2 South Portland, ME 04106.

What is the specialty for Kellie Sprague ?


Answer: The Specialty of Kellie Sprague is An Internal Medicine Physician.

Are there any online reviews for Kellie Sprague ?


Answer: Yes! Check It Now.

Are there any other health care providers in South Portland, ME?


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 Kellie Sprague

Number of HCPCS 19
Number of Medicare Beneficiaries 50
Number of Services 188
Total Submitted Charge Amount 44425
Total Medicare Allowed Amount 22685.84
Total Medicare Payment Amount 19031.1
Total Medicare Standardized Payment Amount 18998.52
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 19
Number of Medicare Beneficiaries With Medical 50
Number of Medical Services 188
Total Medical Submitted Charge Amount 44425
Total Medical Medicare Allowed Amount 22685.84
Total Medical Medicare Payment Amount 19031.1
Total Medical Medicare Standardized Payment Amount 18998.52
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 22
Number of Beneficiaries Age 75 to 84 14
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 28
Number of Male Beneficiaries 22
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 18
Number of Beneficiaries With Medicare Only Entitlement 32
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.24
Percent (%) of Beneficiaries Identified With Heart Failure 0.34
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.5
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.22
Percent (%) of Beneficiaries Identified With Depression 0.38
Percent (%) of Beneficiaries Identified With Diabetes 0.22
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.5
Percent (%) of Beneficiaries Identified With Hypertension 0.62
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.4
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.4
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.7511

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 Hematology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 199
Number of Standardized 30-Day Fills 229.96666667
Aggregate Cost Paid for All Claims 595380.82
Number of Day's Supply for All Claims 5434
Number of Medicare Beneficiaries 39
Number of Claims, Including Refills, for Beneficiaries Age 65+ 140
Including Refills, for Beneficiaries Age 65+ 161.43333333
Beneficiaries Age 65+ 291865.95
Number of Day's Supply for All Claims for Beneficaries Age 65+ 3838
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 58
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 141
Aggregate Cost Paid for Generic Drugs 33055.22
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 111
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 171782.75
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 88
Aggregate Cost Paid for Claims Filled by 423598.07
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 82
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 339084.22
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 117
by Low-Income Subsidy 256296.6
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 19
Aggregate Cost Paid for Antibiotic Drugs 167.67
Antibiotic Claims 12
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
Average Age of Beneficiaries 70.384615385
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 18
Number of Male Beneficiaries 21
Number of Non-Hispanic White 34
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 1.9877692308

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