Raven Custalow

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NPI Number Detailed Information

Provider Information:

Name:	Raven Custalow
Gender:	F
Provider License Number If Given:	24176579

NPI Information:

NPI:	1669955019
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/12/2018
Last Update Date:	5/5/2022

Provider Business Mailing Address:

Address:	3944 UPSHAW RD Aylett, VA 23009
Phone Number:	8049288477
Fax Number:

Provider Business Practice Location Address:

Address:	7864 RICHMOND TAPPAHANNOCK HWY Aylett, VA 23009
Phone Number:	8047692015
Fax Number:

Provider Taxonomy:

Primary:	363LP2300X
Secondary (if any):
State:	VA

Top Doctors in VA

About Raven Custalow

Raven Custalow ( RAVEN CUSTALOW ) is Definition Nurse Practitioner Physician in Aylett, VA. The NPI Number for Raven Custalow is 1669955019.

The current location address for Raven Custalow is 7864 RICHMOND TAPPAHANNOCK HWY Aylett, VA 23009 and the contact number is 8049288477 and fax number is . The mailing address for Raven Custalow is 3944 UPSHAW RD Aylett, VA 23009- 8047692015 (mailing address contact number - 8049288477).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Raven Custalow ?

Answer: The NPI Number for Raven Custalow is 1669955019

Where is Raven Custalow located?

Answer: Raven Custalow is located at 7864 RICHMOND TAPPAHANNOCK HWY Aylett, VA 23009.

What is the specialty for Raven Custalow ?

Answer: The Specialty of Raven Custalow is Definition Nurse Practitioner Physician.

Are there any online reviews for Raven Custalow ?

Answer: Not yet!

Are there any other health care providers in Aylett, 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 Raven Custalow

Number of HCPCS	70
Number of Medicare Beneficiaries	207
Number of Services	1319
Total Submitted Charge Amount	87098.27
Total Medicare Allowed Amount	43804.93
Total Medicare Payment Amount	28195.35
Total Medicare Standardized Payment Amount	27567.46
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	8
Number of Medicare Beneficiaries With Drug Services	25
Number of Drug Services	36
Total Drug Submitted Charge Amount	3126.27
Total Drug Medicare Allowed Amount	1832.68
Total Drug Medicare Payment Amount	1689.01
Total Drug Medicare Standardized Payment Amount	1662.56
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	62
Number of Medicare Beneficiaries With Medical	207
Number of Medical Services	1283
Total Medical Submitted Charge Amount	83972
Total Medical Medicare Allowed Amount	41972.25
Total Medical Medicare Payment Amount	26506.34
Total Medical Medicare Standardized Payment Amount	25904.9
Average Age of Beneficiaries	74
Number of Beneficiaries Age Less 65	20
Number of Beneficiaries Age 65 to 74	94
Number of Beneficiaries Age 75 to 84	64
Number of Beneficiaries Age Greater 84	29
Number of Female Beneficiaries	113
Number of Male Beneficiaries	94
Number of Non-Hispanic White Beneficiaries	162
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	23
Number of Beneficiaries With Medicare Only Entitlement	184
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.1
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.1
Percent (%) of Beneficiaries Identified With Asthma	0.07
Percent (%) of Beneficiaries Identified With Cancer	0.12
Percent (%) of Beneficiaries Identified With Heart Failure	0.17
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.21
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.12
Percent (%) of Beneficiaries Identified With Depression	0.16
Percent (%) of Beneficiaries Identified With Diabetes	0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.75
Percent (%) of Beneficiaries Identified With Hypertension	0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.29
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.35
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.9693

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	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	2780
Number of Standardized 30-Day Fills	5949.9666667
Aggregate Cost Paid for All Claims	180647.11
Number of Day's Supply for All Claims	172249
Number of Medicare Beneficiaries	226
Number of Claims, Including Refills, for Beneficiaries Age 65+	2211
Including Refills, for Beneficiaries Age 65+	4782.8333333
Beneficiaries Age 65+	113819.38
Number of Day's Supply for All Claims for Beneficaries Age 65+	138246
Number of Medicare Beneficiaries Age 65+	192
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	331
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	2419
Aggregate Cost Paid for Generic Drugs	48137.3
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	30
Aggregate Cost Paid for Other Drugs	1463.2
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	1073
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	80841.89
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	1707
Aggregate Cost Paid for Claims Filled by	99805.22
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1240
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	114197.72
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	1540
by Low-Income Subsidy	66449.39
Total Claims of Opioid Drugs, Including	12
Aggregate Cost Paid for Opioid Drugs	61.54
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms	0.4316546763
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
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	73
Aggregate Cost Paid for Antibiotic Drugs	611.18
Antibiotic Claims	61
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	22
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	253.56
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	72.039823009
Number of Beneficiaries Age Less Than 65	34
Number of Beneficiaries Age 65 to 74	113
Number of Beneficiaries Age 75 to 84	51
Number of Female Beneficiaries	134
Number of Male Beneficiaries	92
Number of Non-Hispanic White	153
Number of Black or African American	63
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement	174
Average Hierarchical Condition Category	1.0662495073

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