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Made Sutjita

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NPI Number Detailed Information

Provider Information:

Name: Made Sutjita
Gender: M
Provider License Number If Given: A77694

NPI Information:

NPI: 1053428334
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 8/24/2006
Last Update Date: 6/13/2015

Provider Business Mailing Address:

Address: PO BOX 7270
Moreno Valley, CA 92552
Phone Number: 9516561500
Fax Number: 9516561510

Provider Business Practice Location Address:

Address: 26520 CACTUS AVE
Moreno Valley, CA 92555
Phone Number: 9514865700
Fax Number: 9514865705

Provider Taxonomy:

Primary: 207RI0200X
Secondary (if any):
State: CA

Top Doctors in CA

 

About Made Sutjita

Made Sutjita ( MADE SUTJITA ) is An Internal Medicine Physician in Moreno Valley, CA. The NPI Number for Made Sutjita is 1053428334.
The current location address for Made Sutjita is 26520 CACTUS AVE Moreno Valley, CA 92555 and the contact number is 9516561500 and fax number is 9516561510. The mailing address for Made Sutjita is PO BOX 7270 Moreno Valley, CA 92552- 9514865700 (mailing address contact number - 9516561500).
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Provider Business Location on Map

FAQs:

What is the NPI Number for Made Sutjita ?


Answer: The NPI Number for Made Sutjita is 1053428334

Where is Made Sutjita located?


Answer: Made Sutjita is located at 26520 CACTUS AVE Moreno Valley, CA 92555.

What is the specialty for Made Sutjita ?


Answer: The Specialty of Made Sutjita is An Internal Medicine Physician.

Are there any online reviews for Made Sutjita ?


Answer: Not yet!

Are there any other health care providers in Moreno Valley, CA?


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 Made Sutjita

Number of HCPCS 7
Number of Medicare Beneficiaries 85
Number of Services 134
Total Submitted Charge Amount 31618
Total Medicare Allowed Amount 18030.71
Total Medicare Payment Amount 14553.04
Total Medicare Standardized Payment Amount 13624.71
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 7
Number of Medicare Beneficiaries With Medical 85
Number of Medical Services 134
Total Medical Submitted Charge Amount 31618
Total Medical Medicare Allowed Amount 18030.71
Total Medical Medicare Payment Amount 14553.04
Total Medical Medicare Standardized Payment Amount 13624.71
Average Age of Beneficiaries 66
Number of Beneficiaries Age Less 65 34
Number of Beneficiaries Age 65 to 74 27
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 42
Number of Male Beneficiaries 43
Number of Non-Hispanic White Beneficiaries 26
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 31
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 68
Number of Beneficiaries With Medicare Only Entitlement 17
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.16
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.48
Percent (%) of Beneficiaries Identified With Asthma 0.15
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.61
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.75
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.32
Percent (%) of Beneficiaries Identified With Depression 0.47
Percent (%) of Beneficiaries Identified With Diabetes 0.66
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.61
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.51
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.42
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.14
Percent (%) of Beneficiaries Identified With Stroke 0.18
Average HCC Risk Score of Beneficiaries 4.0149

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 Infectious Disease
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 256
Number of Standardized 30-Day Fills 358.5
Aggregate Cost Paid for All Claims 389822.41
Number of Day's Supply for All Claims 10446
Number of Medicare Beneficiaries 38
Number of Claims, Including Refills, for Beneficiaries Age 65+ 118
Including Refills, for Beneficiaries Age 65+ 181.8
Beneficiaries Age 65+ 183153.42
Number of Day's Supply for All Claims for Beneficaries Age 65+ 5209
Number of Medicare Beneficiaries Age 65+ 20
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 101
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 155
Aggregate Cost Paid for Generic Drugs 29171.79
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 106
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 184611.62
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 150
Aggregate Cost Paid for Claims Filled by 205210.79
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 207
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 336324
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 49
by Low-Income Subsidy 53498.41
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 24
Aggregate Cost Paid for Antibiotic Drugs 500.47
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 0
Average Age of Beneficiaries 62.842105263
Number of Beneficiaries Age Less Than 65 18
Number of Beneficiaries Age 65 to 74 17
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 14
Number of Male Beneficiaries 24
Number of Non-Hispanic White 12
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 21
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 2.2683271359

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Made Sutjita in Other Directories

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