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Kelly Marie Axsom

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NPI Number Detailed Information

Provider Information:

Name: Kelly Marie Axsom
Gender: F
Provider License Number If Given: 258685

NPI Information:

NPI: 1841459997
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/4/2008

Last Update Date: 6/19/2018

Reputation Report:

Provider Business Mailing Address:

Address: 630 W 168TH ST BOX 4
New York, NY 10032
Phone Number: 6463172268
Fax Number:

Provider Business Practice Location Address:

Address: 622 W 168TH ST
New York, NY 10032
Phone Number: 6463172268
Fax Number:

Provider Taxonomy:

Primary: 207RA0001X
Secondary (if any):
State: NY

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About Kelly Marie Axsom

Kelly Marie Axsom ( KELLY MARIE AXSOM ) is Specialists Internal Medicine Physician in New York, NY. The NPI Number for Kelly Marie Axsom is 1841459997.
The current location address for Kelly Marie Axsom is 622 W 168TH ST New York, NY 10032 and the contact number is 6463172268 and fax number is . The mailing address for Kelly Marie Axsom is 630 W 168TH ST BOX 4 New York, NY 10032- 6463172268 (mailing address contact number - 6463172268).
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Provider Business Location on Map

FAQs:

What is the NPI Number for Kelly Marie Axsom ?


Answer: The NPI Number for Kelly Marie Axsom is 1841459997

Where is Kelly Marie Axsom located?


Answer: Kelly Marie Axsom is located at 622 W 168TH ST New York, NY 10032.

What is the specialty for Kelly Marie Axsom ?


Answer: The Specialty of Kelly Marie Axsom is Specialists Internal Medicine Physician.

Are there any online reviews for Kelly Marie Axsom ?


Answer: Yes! Check It Now.

Are there any other health care providers in New York, NY?


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 Kelly Marie Axsom

Number of HCPCS 23
Number of Medicare Beneficiaries 178
Number of Services 559
Total Submitted Charge Amount 351733
Total Medicare Allowed Amount 101598.59
Total Medicare Payment Amount 80227.29
Total Medicare Standardized Payment Amount 69013.93
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65 43
Number of Beneficiaries Age 65 to 74 69
Number of Beneficiaries Age 75 to 84 41
Number of Beneficiaries Age Greater 84 25
Number of Female Beneficiaries 72
Number of Male Beneficiaries 106
Number of Non-Hispanic White Beneficiaries 116
Number of Black or African American Beneficiaries 24
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 24
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 48
Number of Beneficiaries With Medicare Only Entitlement 130
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.41
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.19
Percent (%) of Beneficiaries Identified With Asthma 0.13
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.75
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.75
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.24
Percent (%) of Beneficiaries Identified With Depression 0.27
Percent (%) of Beneficiaries Identified With Diabetes 0.52
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.7
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.75
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
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 0.11
Average HCC Risk Score of Beneficiaries 3.4396

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 Advanced Heart Failure and Transplant Cardiology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 637
Number of Standardized 30-Day Fills 1148.3666667
Aggregate Cost Paid for All Claims 396634.87
Number of Day's Supply for All Claims 33449
Number of Medicare Beneficiaries 116
Number of Claims, Including Refills, for Beneficiaries Age 65+ 475
Including Refills, for Beneficiaries Age 65+ 884.86666667
Beneficiaries Age 65+ 343168.52
Number of Day's Supply for All Claims for Beneficaries Age 65+ 25848
Number of Medicare Beneficiaries Age 65+ 93
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 188
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 449
Aggregate Cost Paid for Generic Drugs 14867.12
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 312
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 88679.82
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 325
Aggregate Cost Paid for Claims Filled by 307955.05
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 358
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 99375.67
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 279
by Low-Income Subsidy 297259.2
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
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 71.146551724
Number of Beneficiaries Age Less Than 65 23
Number of Beneficiaries Age 65 to 74 48
Number of Beneficiaries Age 75 to 84 28
Number of Female Beneficiaries 63
Number of Male Beneficiaries 53
Number of Non-Hispanic White 53
Number of Black or African American 21
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 29
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 59
Average Hierarchical Condition Category 2.8826106793

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