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Larissa Fomitcheva

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NPI Number Detailed Information

Provider Information:

Name: Larissa Fomitcheva
Gender: F
Provider License Number If Given: 241373

NPI Information:

NPI: 1780695718
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/11/2006

Last Update Date: 9/22/2009

Reputation Report:

Provider Business Mailing Address:

Address: 2329 E 21ST ST
Brooklyn, NY 11229
Phone Number: 3475230054
Fax Number:

Provider Business Practice Location Address:

Address: 980 N BROADWAY
N Massapequa, NY 11758
Phone Number: 5167952890
Fax Number: 5167957450

Provider Taxonomy:

Primary: 207V00000X
Secondary (if any):
State: NY

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About Larissa Fomitcheva

Larissa Fomitcheva ( LARISSA FOMITCHEVA ) is An Obstetrics & Gynecology Physician in N Massapequa, NY. The NPI Number for Larissa Fomitcheva is 1780695718.
The current location address for Larissa Fomitcheva is 980 N BROADWAY N Massapequa, NY 11758 and the contact number is 3475230054 and fax number is . The mailing address for Larissa Fomitcheva is 2329 E 21ST ST Brooklyn, NY 11229- 5167952890 (mailing address contact number - 3475230054).
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Provider Business Location on Map

FAQs:

What is the NPI Number for Larissa Fomitcheva ?


Answer: The NPI Number for Larissa Fomitcheva is 1780695718

Where is Larissa Fomitcheva located?


Answer: Larissa Fomitcheva is located at 980 N BROADWAY N Massapequa, NY 11758.

What is the specialty for Larissa Fomitcheva ?


Answer: The Specialty of Larissa Fomitcheva is An Obstetrics & Gynecology Physician.

Are there any online reviews for Larissa Fomitcheva ?


Answer: Yes! Check It Now.

Are there any other health care providers in N Massapequa, 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 Larissa Fomitcheva

Number of HCPCS 9
Number of Medicare Beneficiaries 29
Number of Services 115
Total Submitted Charge Amount 21995
Total Medicare Allowed Amount 9283.18
Total Medicare Payment Amount 6964.63
Total Medicare Standardized Payment Amount 5920.86
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 69
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 15
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries 18
Number of Black or African American Beneficiaries
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 0
Number of Beneficiaries With Medicare & Medicaid Entitlement 12
Number of Beneficiaries With Medicare Only Entitlement 17
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
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes 0.45
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.72
Percent (%) of Beneficiaries Identified With Hypertension 0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.52
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 1.3018

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 Obstetrics & Gynecology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 141
Number of Standardized 30-Day Fills 291
Aggregate Cost Paid for All Claims 54806.42
Number of Day's Supply for All Claims 7374
Number of Medicare Beneficiaries 53
Number of Claims, Including Refills, for Beneficiaries Age 65+ 118
Including Refills, for Beneficiaries Age 65+ 252
Beneficiaries Age 65+ 48749.21
Number of Day's Supply for All Claims for Beneficaries Age 65+ 6526
Number of Medicare Beneficiaries Age 65+ 40
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 48
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 93
Aggregate Cost Paid for Generic Drugs 9367.82
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 49
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 16182.89
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 92
Aggregate Cost Paid for Claims Filled by 38623.53
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 56
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 24293.28
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 85
by Low-Income Subsidy 30513.14
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
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
Total Claims of Antibiotic Drugs, Including 19
Aggregate Cost Paid for Antibiotic Drugs 147.2
Antibiotic Claims 16
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 67.018867925
Number of Beneficiaries Age Less Than 65 13
Number of Beneficiaries Age 65 to 74 29
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 28
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 16
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement 24
Average Hierarchical Condition Category 1.0659188819

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