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Serge Mistivar

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NPI Number Detailed Information

Provider Information:

Name: Serge Mistivar
Gender: M
Provider License Number If Given: 64865

NPI Information:

NPI: 1609080126
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 5/10/2007
Last Update Date: 1/7/2015

Provider Business Mailing Address:

Address: 1454 MADISON AVE W
Immokalee, FL 34142
Phone Number: 2396583064
Fax Number: 2396583175

Provider Business Practice Location Address:

Address: 1454 MADISON AVE W
Immokalee, FL 34142
Phone Number: 2396583064
Fax Number: 2396583175

Provider Taxonomy:

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

Top Doctors in FL

 

About Serge Mistivar

Serge Mistivar ( SERGE MISTIVAR ) is Family Family Medicine Physician in Immokalee, FL. The NPI Number for Serge Mistivar is 1609080126.
The current location address for Serge Mistivar is 1454 MADISON AVE W Immokalee, FL 34142 and the contact number is 2396583064 and fax number is 2396583175. The mailing address for Serge Mistivar is 1454 MADISON AVE W Immokalee, FL 34142- 2396583064 (mailing address contact number - 2396583064).
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 Serge Mistivar ?


Answer: The NPI Number for Serge Mistivar is 1609080126

Where is Serge Mistivar located?


Answer: Serge Mistivar is located at 1454 MADISON AVE W Immokalee, FL 34142.

What is the specialty for Serge Mistivar ?


Answer: The Specialty of Serge Mistivar is Family Family Medicine Physician.

Are there any online reviews for Serge Mistivar ?


Answer: Not yet!

Are there any other health care providers in Immokalee, FL?


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 Serge Mistivar

Number of HCPCS 4
Number of Medicare Beneficiaries 12
Number of Services 46
Total Submitted Charge Amount 25217.04
Total Medicare Allowed Amount 2060.91
Total Medicare Payment Amount 1404.1
Total Medicare Standardized Payment Amount 1353.53
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 4
Number of Medicare Beneficiaries With Medical 12
Number of Medical Services 46
Total Medical Submitted Charge Amount 25217.04
Total Medical Medicare Allowed Amount 2060.91
Total Medical Medicare Payment Amount 1404.1
Total Medical Medicare Standardized Payment Amount 1353.53
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 0
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 0
Number of Male Beneficiaries 12
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 0
Number of Beneficiaries With Medicare & Medicaid Entitlement 0
Number of Beneficiaries With Medicare Only Entitlement 12
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis 0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.9914

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 1952
Number of Standardized 30-Day Fills 4735.3
Aggregate Cost Paid for All Claims 321305.66
Number of Day's Supply for All Claims 140878
Number of Medicare Beneficiaries 302
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1568
Including Refills, for Beneficiaries Age 65+ 3870.0666667
Beneficiaries Age 65+ 229863.44
Number of Day's Supply for All Claims for Beneficaries Age 65+ 115061
Number of Medicare Beneficiaries Age 65+ 259
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 368
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1528
Aggregate Cost Paid for Generic Drugs 34766.32
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 56
Aggregate Cost Paid for Other Drugs 6246.12
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1477
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 247473.77
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 475
Aggregate Cost Paid for Claims Filled by 73831.89
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1797
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 317362.09
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 155
by Low-Income Subsidy 3943.57
Total Claims of Opioid Drugs, Including 16
Aggregate Cost Paid for Opioid Drugs 92.91
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 0.8196721311
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
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
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 71.347682119
Number of Beneficiaries Age Less Than 65 43
Number of Beneficiaries Age 65 to 74 145
Number of Beneficiaries Age 75 to 84 94
Number of Female Beneficiaries 170
Number of Male Beneficiaries 132
Number of Non-Hispanic White 28
Number of Black or African American 173
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 90
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 52
Average Hierarchical Condition Category 1.4653912954

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NPI Number: 1609080126
Address: 1454 MADISON AVE W Immokalee, FL 34142 , Phone: 2396583064
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Serge Mistivar in Other Directories

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