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Pablo E Balboa-Marciack

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NPI Number Detailed Information

Provider Information:

Name: Pablo E Balboa-Marciack
Gender: M
Provider License Number If Given: 55409

NPI Information:

NPI: 1255357067
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/14/2006

Last Update Date: 12/13/2018

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 12938 C/O CLINIC MANAGEMENT
Calhoun, GA 30703
Phone Number: 7066027800
Fax Number:

Provider Business Practice Location Address:

Address: 100 HOSPITAL CT
Calhoun, GA 30701
Phone Number: 7066028200
Fax Number: 7066021354

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: GA

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About Pablo E Balboa-Marciack

Pablo E Balboa-Marciack ( PABLO E BALBOA-MARCIACK ) is Family Family Medicine Physician in Calhoun, GA. The NPI Number for Pablo E Balboa-Marciack is 1255357067.
The current location address for Pablo E Balboa-Marciack is 100 HOSPITAL CT Calhoun, GA 30701 and the contact number is 7066027800 and fax number is . The mailing address for Pablo E Balboa-Marciack is PO BOX 12938 C/O CLINIC MANAGEMENT Calhoun, GA 30703- 7066028200 (mailing address contact number - 7066027800).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Pablo E Balboa-Marciack ?


Answer: The NPI Number for Pablo E Balboa-Marciack is 1255357067

Where is Pablo E Balboa-Marciack located?


Answer: Pablo E Balboa-Marciack is located at 100 HOSPITAL CT Calhoun, GA 30701.

What is the specialty for Pablo E Balboa-Marciack ?


Answer: The Specialty of Pablo E Balboa-Marciack is Family Family Medicine Physician.

Are there any online reviews for Pablo E Balboa-Marciack ?


Answer: Yes! Check It Now.

Are there any other health care providers in Calhoun, GA?


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 Pablo E Balboa-Marciack

Number of HCPCS 74
Number of Medicare Beneficiaries 384
Number of Services 1972
Total Submitted Charge Amount 325577.65
Total Medicare Allowed Amount 96304.84
Total Medicare Payment Amount 68004.69
Total Medicare Standardized Payment Amount 77885.01
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 12
Number of Medicare Beneficiaries With Drug Services 109
Number of Drug Services 532
Total Drug Submitted Charge Amount 7632.65
Total Drug Medicare Allowed Amount 2528.2
Total Drug Medicare Payment Amount 2244.43
Total Drug Medicare Standardized Payment Amount 2219.17
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 62
Number of Medicare Beneficiaries With Medical 384
Number of Medical Services 1440
Total Medical Submitted Charge Amount 317945
Total Medical Medicare Allowed Amount 93776.64
Total Medical Medicare Payment Amount 65760.26
Total Medical Medicare Standardized Payment Amount 75665.84
Average Age of Beneficiaries 68
Number of Beneficiaries Age Less 65 101
Number of Beneficiaries Age 65 to 74 173
Number of Beneficiaries Age 75 to 84 89
Number of Beneficiaries Age Greater 84 21
Number of Female Beneficiaries 214
Number of Male Beneficiaries 170
Number of Non-Hispanic White Beneficiaries 321
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 47
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 126
Number of Beneficiaries With Medicare Only Entitlement 258
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.12
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.06
Percent (%) of Beneficiaries Identified With Heart Failure 0.17
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.35
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.15
Percent (%) of Beneficiaries Identified With Depression 0.27
Percent (%) of Beneficiaries Identified With Diabetes 0.34
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.49
Percent (%) of Beneficiaries Identified With Hypertension 0.7
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.33
Percent (%) of Beneficiaries Identified With Osteoporosis 0.06
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.03
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.1707

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 Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 8696
Number of Standardized 30-Day Fills 13654.566667
Aggregate Cost Paid for All Claims 715449.22
Number of Day's Supply for All Claims 390115
Number of Medicare Beneficiaries 471
Number of Claims, Including Refills, for Beneficiaries Age 65+ 6229
Including Refills, for Beneficiaries Age 65+ 9829.7
Beneficiaries Age 65+ 504581.13
Number of Day's Supply for All Claims for Beneficaries Age 65+ 281077
Number of Medicare Beneficiaries Age 65+ 332
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1371
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 7251
Aggregate Cost Paid for Generic Drugs 104972.57
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 74
Aggregate Cost Paid for Other Drugs 3034.8
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 5025
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 417305.22
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 3671
Aggregate Cost Paid for Claims Filled by 298144
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 5924
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 570747.67
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 2772
by Low-Income Subsidy 144701.55
Total Claims of Opioid Drugs, Including 97
Aggregate Cost Paid for Opioid Drugs 433.36
Opioid Claims 37
Opioid_Tot_Clms divided by the Tot_Clms 1.1154553818
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 221
Aggregate Cost Paid for Antibiotic Drugs 23378.68
Antibiotic Claims 158
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 72
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 1593.93
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 14
Average Age of Beneficiaries 67.592356688
Number of Beneficiaries Age Less Than 65 139
Number of Beneficiaries Age 65 to 74 216
Number of Beneficiaries Age 75 to 84 94
Number of Female Beneficiaries 274
Number of Male Beneficiaries 197
Number of Non-Hispanic White 366
Number of Black or African American 20
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 72
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 234
Average Hierarchical Condition Category 1.2642646845

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