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Michele K Ballou

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NPI Number Detailed Information

Provider Information:

Name: Michele K Ballou
Gender: F
Provider License Number If Given: 101036698

NPI Information:

NPI: 1730184789
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/16/2005

Last Update Date: 2/8/2019

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 457
White Sulphur Springs, WV 24986
Phone Number: 3045365030
Fax Number: 8669036621

Provider Business Practice Location Address:

Address: 200 ARH LANE STE. 102
Low Moor, VA 24457
Phone Number: 5408626710
Fax Number: 5408629167

Provider Taxonomy:

Primary: 207RP1001X
Secondary (if any):
State: VA

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About Michele K Ballou

Michele K Ballou ( MICHELE K BALLOU ) is An Internal Medicine Physician in Low Moor, VA. The NPI Number for Michele K Ballou is 1730184789.
The current location address for Michele K Ballou is 200 ARH LANE STE. 102 Low Moor, VA 24457 and the contact number is 3045365030 and fax number is 8669036621. The mailing address for Michele K Ballou is PO BOX 457 White Sulphur Springs, WV 24986- 5408626710 (mailing address contact number - 3045365030).
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Michele K Ballou ?


Answer: The NPI Number for Michele K Ballou is 1730184789

Where is Michele K Ballou located?


Answer: Michele K Ballou is located at 200 ARH LANE STE. 102 Low Moor, VA 24457.

What is the specialty for Michele K Ballou ?


Answer: The Specialty of Michele K Ballou is An Internal Medicine Physician.

Are there any online reviews for Michele K Ballou ?


Answer: Yes! Check It Now.

Are there any other health care providers in Low Moor, VA?


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 Michele K Ballou

Number of HCPCS 31
Number of Medicare Beneficiaries 442
Number of Services 1897
Total Submitted Charge Amount 316642
Total Medicare Allowed Amount 157531.59
Total Medicare Payment Amount 117398.69
Total Medicare Standardized Payment Amount 115724.85
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 54
Number of Drug Services 59
Total Drug Submitted Charge Amount 8239
Total Drug Medicare Allowed Amount 3083.01
Total Drug Medicare Payment Amount 3080.37
Total Drug Medicare Standardized Payment Amount 3165.17
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 27
Number of Medicare Beneficiaries With Medical 442
Number of Medical Services 1838
Total Medical Submitted Charge Amount 308403
Total Medical Medicare Allowed Amount 154448.58
Total Medical Medicare Payment Amount 114318.32
Total Medical Medicare Standardized Payment Amount 112559.68
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65 35
Number of Beneficiaries Age 65 to 74 153
Number of Beneficiaries Age 75 to 84 190
Number of Beneficiaries Age Greater 84 64
Number of Female Beneficiaries 286
Number of Male Beneficiaries 156
Number of Non-Hispanic White Beneficiaries 426
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 59
Number of Beneficiaries With Medicare Only Entitlement 383
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.17
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.1
Percent (%) of Beneficiaries Identified With Asthma 0.25
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.23
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.32
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.43
Percent (%) of Beneficiaries Identified With Depression 0.23
Percent (%) of Beneficiaries Identified With Diabetes 0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.69
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.38
Percent (%) of Beneficiaries Identified With Osteoporosis 0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.48
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.05
Average HCC Risk Score of Beneficiaries 1.4107

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 Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 11948
Number of Standardized 30-Day Fills 23249.7
Aggregate Cost Paid for All Claims 1439685.84
Number of Day's Supply for All Claims 671112
Number of Medicare Beneficiaries 491
Number of Claims, Including Refills, for Beneficiaries Age 65+ 9356
Including Refills, for Beneficiaries Age 65+ 19082.3
Beneficiaries Age 65+ 1171405.05
Number of Day's Supply for All Claims for Beneficaries Age 65+ 553709
Number of Medicare Beneficiaries Age 65+ 416
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 2211
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 9683
Aggregate Cost Paid for Generic Drugs 217681.07
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 54
Aggregate Cost Paid for Other Drugs 2954.05
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 4715
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 579938.84
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 7233
Aggregate Cost Paid for Claims Filled by 859747
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 4924
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 798269.54
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 7024
by Low-Income Subsidy 641416.3
Total Claims of Opioid Drugs, Including 528
Aggregate Cost Paid for Opioid Drugs 17293.02
Opioid Claims 93
Opioid_Tot_Clms divided by the Tot_Clms 4.4191496485
Total Claims of Long-Acting Opioid Drugs 41
Aggregate Cost Paid for Long-Acting Opioid 1900.98
Number of Day's Supply of All Long-Acting 1230
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 7.7651515152
Total Claims of Antibiotic Drugs, Including 544
Aggregate Cost Paid for Antibiotic Drugs 7821
Antibiotic Claims 189
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 17
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 749.49
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 74.274949084
Number of Beneficiaries Age Less Than 65 75
Number of Beneficiaries Age 65 to 74 156
Number of Beneficiaries Age 75 to 84 188
Number of Female Beneficiaries 330
Number of Male Beneficiaries 161
Number of Non-Hispanic White 466
Number of Black or African American 20
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 368
Average Hierarchical Condition Category 1.5442308127

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