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Deactivated

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NPI Number Detailed Information

Provider Information:

Name: Deactivated
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1104822402
Entity Type
(Individual or Organization):
0-org
Enumeration Date: 1/0/1900

Last Update Date: 1/0/1900

Provider Business Mailing Address:

Address:
,
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address:
,
Phone Number:
Fax Number:

Provider Taxonomy:

Primary: 0
Secondary (if any):
State:

Top Doctors in

 

About Deactivated

Deactivated ( DEACTIVATED ) is Provider in , . The NPI Number for Deactivated is 1104822402.
The current location address for Deactivated is , and the contact number is and fax number is . The mailing address for Deactivated is , - (mailing address contact number - ).

Provider Business Location on Map

FAQs:

What is the NPI Number for Deactivated ?


Answer: The NPI Number for Deactivated is 1104822402

Where is Deactivated located?


Answer: Deactivated is located at , .

What is the specialty for Deactivated ?


Answer: The Specialty of Deactivated is Provider.

Are there any online reviews for Deactivated ?


Answer: Not yet!

Are there any other health care providers 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 Deactivated

Number of HCPCS 13
Number of Medicare Beneficiaries 1409
Number of Services 3176
Total Submitted Charge Amount 151183.08
Total Medicare Allowed Amount 104848.54
Total Medicare Payment Amount 104848.54
Total Medicare Standardized Payment Amount 107553.24
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 5
Number of Medicare Beneficiaries With Drug Services 28
Number of Drug Services 29
Total Drug Submitted Charge Amount 2865.22
Total Drug Medicare Allowed Amount 2074.51
Total Drug Medicare Payment Amount 2074.51
Total Drug Medicare Standardized Payment Amount 2032.96
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 8
Number of Medicare Beneficiaries With Medical 1409
Number of Medical Services 3147
Total Medical Submitted Charge Amount 148317.86
Total Medical Medicare Allowed Amount 102774.03
Total Medical Medicare Payment Amount 102774.03
Total Medical Medicare Standardized Payment Amount 105520.28
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 112
Number of Beneficiaries Age 65 to 74 662
Number of Beneficiaries Age 75 to 84 455
Number of Beneficiaries Age Greater 84 180
Number of Female Beneficiaries 759
Number of Male Beneficiaries 650
Number of Non-Hispanic White Beneficiaries 1384
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 14
Number of Beneficiaries With Medicare & Medicaid Entitlement 164
Number of Beneficiaries With Medicare Only Entitlement 1245
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.02
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.01
Percent (%) of Beneficiaries Identified With Asthma 0.01
Percent (%) of Beneficiaries Identified With Cancer 0.02
Percent (%) of Beneficiaries Identified With Heart Failure 0.04
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.06
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.03
Percent (%) of Beneficiaries Identified With Depression 0.04
Percent (%) of Beneficiaries Identified With Diabetes 0.07
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.14
Percent (%) of Beneficiaries Identified With Hypertension 0.15
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.08
Percent (%) of Beneficiaries Identified With Osteoporosis 0.01
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.1
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.01
Average HCC Risk Score of Beneficiaries 1.0131

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Deactivated in Other Directories

Provider don't have other directory link yet.