Dr. Matthew Campbell Ericksen

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Matthew Campbell Ericksen
Gender:	M
Provider License Number If Given:	2012015105

NPI Information:

NPI:	1285956797
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	2/25/2010
Last Update Date:	4/23/2021
Reputation Report:

Provider Business Mailing Address:

Address:	1155 W PARKVIEW ST SUITE 2J Bolivar, MO 65613
Phone Number:	6237346378
Fax Number:

Provider Business Practice Location Address:

Address:	1155 W PARKVIEW ST SUITE 2J Bolivar, MO 65613
Phone Number:	4173287000
Fax Number:

Provider Taxonomy:

Primary:	207YX0905X
Secondary (if any):
State:	MO

Top Doctors in MO

About Dr. Matthew Campbell Ericksen

Dr. Matthew Campbell Ericksen (DR. MATTHEW CAMPBELL ERICKSEN ) is An Otolaryngology Physician in Bolivar, MO. The NPI Number for Dr. Matthew Campbell Ericksen is 1285956797.

The current location address for Dr. Matthew Campbell Ericksen is 1155 W PARKVIEW ST SUITE 2J Bolivar, MO 65613 and the contact number is 6237346378 and fax number is . The mailing address for Dr. Matthew Campbell Ericksen is 1155 W PARKVIEW ST SUITE 2J Bolivar, MO 65613- 4173287000 (mailing address contact number - 6237346378).

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Matthew Campbell Ericksen ?

Answer: The NPI Number for Dr. Matthew Campbell Ericksen is 1285956797

Where is Dr. Matthew Campbell Ericksen located?

Answer: Dr. Matthew Campbell Ericksen is located at 1155 W PARKVIEW ST SUITE 2J Bolivar, MO 65613.

What is the specialty for Dr. Matthew Campbell Ericksen ?

Answer: The Specialty of Dr. Matthew Campbell Ericksen is An Otolaryngology Physician.

Are there any online reviews for Dr. Matthew Campbell Ericksen ?

Answer: Yes! Check It Now.

Are there any other health care providers in Bolivar, MO?

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. Matthew Campbell Ericksen

Number of HCPCS	41
Number of Medicare Beneficiaries	174
Number of Services	781
Total Submitted Charge Amount	96856
Total Medicare Allowed Amount	35155.99
Total Medicare Payment Amount	26873.9
Total Medicare Standardized Payment Amount	28145.82
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	41
Number of Medicare Beneficiaries With Medical	174
Number of Medical Services	781
Total Medical Submitted Charge Amount	96856
Total Medical Medicare Allowed Amount	35155.99
Total Medical Medicare Payment Amount	26873.9
Total Medical Medicare Standardized Payment Amount	28145.82
Average Age of Beneficiaries	72
Number of Beneficiaries Age Less 65	30
Number of Beneficiaries Age 65 to 74	71
Number of Beneficiaries Age 75 to 84	57
Number of Beneficiaries Age Greater 84	16
Number of Female Beneficiaries	91
Number of Male Beneficiaries	83
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	33
Number of Beneficiaries With Medicare Only Entitlement	141
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.14
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer	0.09
Percent (%) of Beneficiaries Identified With Heart Failure	0.13
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.31
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.25
Percent (%) of Beneficiaries Identified With Depression	0.3
Percent (%) of Beneficiaries Identified With Diabetes	0.32
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.39
Percent (%) of Beneficiaries Identified With Hypertension	0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.3
Percent (%) of Beneficiaries Identified With Osteoporosis	0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.58
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.2

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	Otolaryngology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	215
Number of Standardized 30-Day Fills	233.86666667
Aggregate Cost Paid for All Claims	8341.92
Number of Day's Supply for All Claims	4821
Number of Medicare Beneficiaries	107
Number of Claims, Including Refills, for Beneficiaries Age 65+	133
Including Refills, for Beneficiaries Age 65+	145.86666667
Beneficiaries Age 65+	5614.2
Number of Day's Supply for All Claims for Beneficaries Age 65+	3132
Number of Medicare Beneficiaries Age 65+	73
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	205
Aggregate Cost Paid for Generic Drugs	6239.95
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	143
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	4885.5
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	72
Aggregate Cost Paid for Claims Filled by	3456.42
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	108
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	3295.81
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	107
by Low-Income Subsidy	5046.11
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	254.09
Antibiotic Claims	17
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	67.065420561
Number of Beneficiaries Age Less Than 65	34
Number of Beneficiaries Age 65 to 74	38
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	49
Number of Male Beneficiaries	58
Number of Non-Hispanic White	104
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	0
Only Entitlement	72
Average Hierarchical Condition Category	1.2028442368

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