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Steven Jon Clark

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NPI Number Detailed Information

Provider Information:

Name: Steven Jon Clark
Gender: M
Provider License Number If Given: E4336

NPI Information:

NPI: 1114952462
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/12/2006

Last Update Date: 8/10/2020

Reputation Report:

Provider Business Mailing Address:

Address: 911 OAK PARK BLVD STE 106
Pismo Beach, CA 93449
Phone Number: 8054819100
Fax Number: 8054819199

Provider Business Practice Location Address:

Address: 911 OAK PARK BLVD STE 106
Pismo Beach, CA 93449
Phone Number: 8054819100
Fax Number: 8054819199

Provider Taxonomy:

Primary: 213ES0103X
Secondary (if any):
State: CA

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About Steven Jon Clark

Steven Jon Clark ( STEVEN JON CLARK ) is Definition Podiatrist Physician in Pismo Beach, CA. The NPI Number for Steven Jon Clark is 1114952462.
The current location address for Steven Jon Clark is 911 OAK PARK BLVD STE 106 Pismo Beach, CA 93449 and the contact number is 8054819100 and fax number is 8054819199. The mailing address for Steven Jon Clark is 911 OAK PARK BLVD STE 106 Pismo Beach, CA 93449- 8054819100 (mailing address contact number - 8054819100).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Steven Jon Clark ?


Answer: The NPI Number for Steven Jon Clark is 1114952462

Where is Steven Jon Clark located?


Answer: Steven Jon Clark is located at 911 OAK PARK BLVD STE 106 Pismo Beach, CA 93449.

What is the specialty for Steven Jon Clark ?


Answer: The Specialty of Steven Jon Clark is Definition Podiatrist Physician.

Are there any online reviews for Steven Jon Clark ?


Answer: Yes! Check It Now.

Are there any other health care providers in Pismo Beach, CA?


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 Steven Jon Clark

Number of HCPCS 78
Number of Medicare Beneficiaries 400
Number of Services 36205
Total Submitted Charge Amount 1695806
Total Medicare Allowed Amount 1166410.71
Total Medicare Payment Amount 929248.61
Total Medicare Standardized Payment Amount 896589.46
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 5
Number of Medicare Beneficiaries With Drug Services 46
Number of Drug Services 33301
Total Drug Submitted Charge Amount 1165328
Total Drug Medicare Allowed Amount 811307.59
Total Drug Medicare Payment Amount 655777.23
Total Drug Medicare Standardized Payment Amount 642661.56
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 73
Number of Medicare Beneficiaries With Medical 400
Number of Medical Services 2904
Total Medical Submitted Charge Amount 530478
Total Medical Medicare Allowed Amount 355103.12
Total Medical Medicare Payment Amount 273471.38
Total Medical Medicare Standardized Payment Amount 253927.9
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65 32
Number of Beneficiaries Age 65 to 74 135
Number of Beneficiaries Age 75 to 84 166
Number of Beneficiaries Age Greater 84 67
Number of Female Beneficiaries 211
Number of Male Beneficiaries 189
Number of Non-Hispanic White Beneficiaries 334
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 54
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 53
Number of Beneficiaries With Medicare Only Entitlement 347
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.14
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.11
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.21
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.43
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.15
Percent (%) of Beneficiaries Identified With Depression 0.27
Percent (%) of Beneficiaries Identified With Diabetes 0.42
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.67
Percent (%) of Beneficiaries Identified With Hypertension 0.74
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.32
Percent (%) of Beneficiaries Identified With Osteoporosis 0.15
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.55
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 1.7394

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 Podiatry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 162
Number of Standardized 30-Day Fills 173.66666667
Aggregate Cost Paid for All Claims 2062.73
Number of Day's Supply for All Claims 2526
Number of Medicare Beneficiaries 69
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 162
Aggregate Cost Paid for Generic Drugs 2062.73
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 12
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 127.01
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 150
Aggregate Cost Paid for Claims Filled by 1935.72
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 16
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 120.66
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 146
by Low-Income Subsidy 1942.07
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
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 92
Aggregate Cost Paid for Antibiotic Drugs 1019.12
Antibiotic Claims 42
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 73.710144928
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 36
Number of Male Beneficiaries 33
Number of Non-Hispanic White 62
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 1.751574919

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