Shane Charles Wilson

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NPI Number Detailed Information

Provider Information:

Name:	Shane Charles Wilson
Gender:	M
Provider License Number If Given:	2014026613

NPI Information:

NPI:	1477808467
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/17/2012
Last Update Date:	10/8/2015

Provider Business Mailing Address:

Address:	450 E SIGLER AVE STE A Memphis, MO 63555
Phone Number:	6604652828
Fax Number:	6604652956

Provider Business Practice Location Address:

Address:	450 E SIGLER AVE STE A Memphis, MO 63555
Phone Number:	6604652828
Fax Number:	6604652956

Provider Taxonomy:

Primary:	207R00000X
Secondary (if any):
State:	MO

Top Doctors in MO

About Shane Charles Wilson

Shane Charles Wilson ( SHANE CHARLES WILSON ) is A Internal Medicine Physician in Memphis, MO. The NPI Number for Shane Charles Wilson is 1477808467.

The current location address for Shane Charles Wilson is 450 E SIGLER AVE STE A Memphis, MO 63555 and the contact number is 6604652828 and fax number is 6604652956. The mailing address for Shane Charles Wilson is 450 E SIGLER AVE STE A Memphis, MO 63555- 6604652828 (mailing address contact number - 6604652828).

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Shane Charles Wilson ?

Answer: The NPI Number for Shane Charles Wilson is 1477808467

Where is Shane Charles Wilson located?

Answer: Shane Charles Wilson is located at 450 E SIGLER AVE STE A Memphis, MO 63555.

What is the specialty for Shane Charles Wilson ?

Answer: The Specialty of Shane Charles Wilson is A Internal Medicine Physician.

Are there any online reviews for Shane Charles Wilson ?

Answer: Not yet!

Are there any other health care providers in Memphis, MO?

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 Shane Charles Wilson

Number of HCPCS	18
Number of Medicare Beneficiaries	154
Number of Services	483
Total Submitted Charge Amount	75139
Total Medicare Allowed Amount	47105.4
Total Medicare Payment Amount	36551.1
Total Medicare Standardized Payment Amount	37636.05
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	18
Number of Medicare Beneficiaries With Medical	154
Number of Medical Services	483
Total Medical Submitted Charge Amount	75139
Total Medical Medicare Allowed Amount	47105.4
Total Medical Medicare Payment Amount	36551.1
Total Medical Medicare Standardized Payment Amount	37636.05
Average Age of Beneficiaries	78
Number of Beneficiaries Age Less 65	17
Number of Beneficiaries Age 65 to 74	50
Number of Beneficiaries Age 75 to 84	44
Number of Beneficiaries Age Greater 84	43
Number of Female Beneficiaries	96
Number of Male Beneficiaries	58
Number of Non-Hispanic White Beneficiaries
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	43
Number of Beneficiaries With Medicare Only Entitlement	111
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.21
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.34
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer	0.1
Percent (%) of Beneficiaries Identified With Heart Failure	0.51
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.55
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.48
Percent (%) of Beneficiaries Identified With Depression	0.49
Percent (%) of Beneficiaries Identified With Diabetes	0.38
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.73
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.55
Percent (%) of Beneficiaries Identified With Osteoporosis	0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.66
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.09
Average HCC Risk Score of Beneficiaries	1.9672

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	3469
Number of Standardized 30-Day Fills	4681.4333333
Aggregate Cost Paid for All Claims	266057.62
Number of Day's Supply for All Claims	133474
Number of Medicare Beneficiaries	217
Number of Claims, Including Refills, for Beneficiaries Age 65+	2930
Including Refills, for Beneficiaries Age 65+	3915.9333333
Beneficiaries Age 65+	214300.53
Number of Day's Supply for All Claims for Beneficaries Age 65+	111943
Number of Medicare Beneficiaries Age 65+	181
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	503
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	2938
Aggregate Cost Paid for Generic Drugs	52860.96
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	28
Aggregate Cost Paid for Other Drugs	1211.13
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	733
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	100465.46
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	2736
Aggregate Cost Paid for Claims Filled by	165592.16
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1728
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	177712.8
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	1741
by Low-Income Subsidy	88344.82
Total Claims of Opioid Drugs, Including	199
Aggregate Cost Paid for Opioid Drugs	13255.17
Opioid Claims	43
Opioid_Tot_Clms divided by the Tot_Clms	5.7365234938
Total Claims of Long-Acting Opioid Drugs	33
Aggregate Cost Paid for Long-Acting Opioid	8178.78
Number of Day's Supply of All Long-Acting	946
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the	16.582914573
Total Claims of Antibiotic Drugs, Including	84
Aggregate Cost Paid for Antibiotic Drugs	35345.53
Antibiotic Claims	41
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	73.907834101
Number of Beneficiaries Age Less Than 65	36
Number of Beneficiaries Age 65 to 74	68
Number of Beneficiaries Age 75 to 84	80
Number of Female Beneficiaries	132
Number of Male Beneficiaries	85
Number of Non-Hispanic White	216
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	148
Average Hierarchical Condition Category	1.7868173789

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