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Ms. Media Jaboori

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NPI Number Detailed Information

Provider Information:

Name: Ms. Media Jaboori
Gender: F
Provider License Number If Given: 10000601

NPI Information:

NPI: 1730175506
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/27/2005

Last Update Date: 8/14/2013

Provider Business Mailing Address:

Address: 3640 NEW VISION DRIVE SUITE A
Fort Wayne, IN 46845
Phone Number: 2604824440
Fax Number: 2604824442

Provider Business Practice Location Address:

Address: 2200 RANDALLIA DR
Fort Wayne, IN 46805
Phone Number: 2603734000
Fax Number: 2604824442

Provider Taxonomy:

Primary: 363AM0700X
Secondary (if any):
State: IN

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About Ms. Media Jaboori

Ms. Media Jaboori (MS. MEDIA JABOORI ) is Definition Physician Assistant Physician in Fort Wayne, IN. The NPI Number for Ms. Media Jaboori is 1730175506.
The current location address for Ms. Media Jaboori is 2200 RANDALLIA DR Fort Wayne, IN 46805 and the contact number is 2604824440 and fax number is 2604824442. The mailing address for Ms. Media Jaboori is 3640 NEW VISION DRIVE SUITE A Fort Wayne, IN 46845- 2603734000 (mailing address contact number - 2604824440).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Ms. Media Jaboori ?


Answer: The NPI Number for Ms. Media Jaboori is 1730175506

Where is Ms. Media Jaboori located?


Answer: Ms. Media Jaboori is located at 2200 RANDALLIA DR Fort Wayne, IN 46805.

What is the specialty for Ms. Media Jaboori ?


Answer: The Specialty of Ms. Media Jaboori is Definition Physician Assistant Physician.

Are there any online reviews for Ms. Media Jaboori ?


Answer: Not yet!

Are there any other health care providers in Fort Wayne, IN?


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 Ms. Media Jaboori

Number of HCPCS 14
Number of Medicare Beneficiaries 57
Number of Services 62
Total Submitted Charge Amount 63817
Total Medicare Allowed Amount 6332.39
Total Medicare Payment Amount 5040.76
Total Medicare Standardized Payment Amount 5184.84
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 14
Number of Medicare Beneficiaries With Medical 57
Number of Medical Services 62
Total Medical Submitted Charge Amount 63817
Total Medical Medicare Allowed Amount 6332.39
Total Medical Medicare Payment Amount 5040.76
Total Medical Medicare Standardized Payment Amount 5184.84
Average Age of Beneficiaries 66
Number of Beneficiaries Age Less 65 13
Number of Beneficiaries Age 65 to 74 31
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 29
Number of Male Beneficiaries 28
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 19
Number of Beneficiaries With Medicare Only Entitlement 38
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0.19
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.32
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.47
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.28
Percent (%) of Beneficiaries Identified With Depression 0.4
Percent (%) of Beneficiaries Identified With Diabetes 0.46
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.58
Percent (%) of Beneficiaries Identified With Hypertension 0.74
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.47
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.61
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.2915

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 Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 107
Number of Standardized 30-Day Fills 107
Aggregate Cost Paid for All Claims 1339.28
Number of Day's Supply for All Claims 783
Number of Medicare Beneficiaries 81
Number of Claims, Including Refills, for Beneficiaries Age 65+ 63
Including Refills, for Beneficiaries Age 65+ 63
Beneficiaries Age 65+ 1040.22
Number of Day's Supply for All Claims for Beneficaries Age 65+ 455
Number of Medicare Beneficiaries Age 65+ 47
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 104
Aggregate Cost Paid for Generic Drugs 626.53
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 62
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 994.42
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 45
Aggregate Cost Paid for Claims Filled by 344.86
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 53
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 324.66
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 54
by Low-Income Subsidy 1014.62
Total Claims of Opioid Drugs, Including 17
Aggregate Cost Paid for Opioid Drugs 46.44
Opioid Claims 17
Opioid_Tot_Clms divided by the Tot_Clms 15.887850467
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 0
Total Claims of Antibiotic Drugs, Including 37
Aggregate Cost Paid for Antibiotic Drugs 312.06
Antibiotic Claims 36
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 65.839506173
Number of Beneficiaries Age Less Than 65 34
Number of Beneficiaries Age 65 to 74 24
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 52
Number of Male Beneficiaries 29
Number of Non-Hispanic White 76
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 43
Average Hierarchical Condition Category 1.3914613781

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Ms. Media Jaboori in Other Directories

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