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Sheila G Higdon

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NPI Number Detailed Information

Provider Information:

Name: Sheila G Higdon
Gender: F
Provider License Number If Given: 24171197

NPI Information:

NPI: 1104252220
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/20/2013

Last Update Date: 9/20/2013

Provider Business Mailing Address:

Address: 9166 N CONGRESS ST
New Market, VA 22844
Phone Number: 5404591340
Fax Number: 5404591349

Provider Business Practice Location Address:

Address: 9166 N CONGRESS ST
New Market, VA 22844
Phone Number: 5404591340
Fax Number: 5404591349

Provider Taxonomy:

Primary: 363LF0000X
Secondary (if any):
State: VA

Top Doctors in VA

 

About Sheila G Higdon

Sheila G Higdon ( SHEILA G HIGDON ) is Definition Nurse Practitioner Physician in New Market, VA. The NPI Number for Sheila G Higdon is 1104252220.
The current location address for Sheila G Higdon is 9166 N CONGRESS ST New Market, VA 22844 and the contact number is 5404591340 and fax number is 5404591349. The mailing address for Sheila G Higdon is 9166 N CONGRESS ST New Market, VA 22844- 5404591340 (mailing address contact number - 5404591340).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Sheila G Higdon ?


Answer: The NPI Number for Sheila G Higdon is 1104252220

Where is Sheila G Higdon located?


Answer: Sheila G Higdon is located at 9166 N CONGRESS ST New Market, VA 22844.

What is the specialty for Sheila G Higdon ?


Answer: The Specialty of Sheila G Higdon is Definition Nurse Practitioner Physician.

Are there any online reviews for Sheila G Higdon ?


Answer: Not yet!

Are there any other health care providers in New Market, 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 Sheila G Higdon

Number of HCPCS 32
Number of Medicare Beneficiaries 134
Number of Services 1118
Total Submitted Charge Amount 130041
Total Medicare Allowed Amount 77846.53
Total Medicare Payment Amount 55493.14
Total Medicare Standardized Payment Amount 55450.58
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 7
Number of Medicare Beneficiaries With Drug Services 20
Number of Drug Services 48
Total Drug Submitted Charge Amount 1864
Total Drug Medicare Allowed Amount 834.18
Total Drug Medicare Payment Amount 803.01
Total Drug Medicare Standardized Payment Amount 786.93
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 25
Number of Medicare Beneficiaries With Medical 134
Number of Medical Services 1070
Total Medical Submitted Charge Amount 128177
Total Medical Medicare Allowed Amount 77012.35
Total Medical Medicare Payment Amount 54690.13
Total Medical Medicare Standardized Payment Amount 54663.65
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 83
Number of Beneficiaries Age 75 to 84 27
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 90
Number of Male Beneficiaries 44
Number of Non-Hispanic White Beneficiaries 115
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
Number of Beneficiaries With Medicare & Medicaid Entitlement 15
Number of Beneficiaries With Medicare Only Entitlement 119
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.11
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.37
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.09
Percent (%) of Beneficiaries Identified With Depression 0.43
Percent (%) of Beneficiaries Identified With Diabetes 0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.73
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.21
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.43
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.928

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 3145
Number of Standardized 30-Day Fills 6057.2333333
Aggregate Cost Paid for All Claims 290886.09
Number of Day's Supply for All Claims 175572
Number of Medicare Beneficiaries 183
Number of Claims, Including Refills, for Beneficiaries Age 65+ 2448
Including Refills, for Beneficiaries Age 65+ 4770.3
Beneficiaries Age 65+ 244513.87
Number of Day's Supply for All Claims for Beneficaries Age 65+ 138711
Number of Medicare Beneficiaries Age 65+ 147
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 515
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 2584
Aggregate Cost Paid for Generic Drugs 48004.04
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 46
Aggregate Cost Paid for Other Drugs 2446.85
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1291
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 158438.67
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1854
Aggregate Cost Paid for Claims Filled by 132447.42
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1227
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 154899.59
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1918
by Low-Income Subsidy 135986.5
Total Claims of Opioid Drugs, Including 53
Aggregate Cost Paid for Opioid Drugs 999.66
Opioid Claims 11
Opioid_Tot_Clms divided by the Tot_Clms 1.6852146264
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 75
Aggregate Cost Paid for Antibiotic Drugs 772.13
Antibiotic Claims 44
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 29
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 386.84
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 69.644808743
Number of Beneficiaries Age Less Than 65 36
Number of Beneficiaries Age 65 to 74 92
Number of Beneficiaries Age 75 to 84 42
Number of Female Beneficiaries 126
Number of Male Beneficiaries 57
Number of Non-Hispanic White 164
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 145
Average Hierarchical Condition Category 1.1699576583

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