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Carol E Sgambelluri

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NPI Number Detailed Information

Provider Information:

Name: Carol E Sgambelluri
Gender: F
Provider License Number If Given: 25MA05327000

NPI Information:

NPI: 1255363701
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/7/2006

Last Update Date: 7/8/2007

Reputation Report:

Provider Business Mailing Address:

Address: 1005 NORTH WASHINGTON AVE
Green Brook, NJ 08812
Phone Number: 7329688900
Fax Number: 7329684609

Provider Business Practice Location Address:

Address: 1005 NORTH WASHINGTON AVE
Green Brook, NJ 08812
Phone Number: 7329688900
Fax Number: 7329684609

Provider Taxonomy:

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

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About Carol E Sgambelluri

Carol E Sgambelluri ( CAROL E SGAMBELLURI ) is Family Family Medicine Physician in Green Brook, NJ. The NPI Number for Carol E Sgambelluri is 1255363701.
The current location address for Carol E Sgambelluri is 1005 NORTH WASHINGTON AVE Green Brook, NJ 08812 and the contact number is 7329688900 and fax number is 7329684609. The mailing address for Carol E Sgambelluri is 1005 NORTH WASHINGTON AVE Green Brook, NJ 08812- 7329688900 (mailing address contact number - 7329688900).
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 Carol E Sgambelluri ?


Answer: The NPI Number for Carol E Sgambelluri is 1255363701

Where is Carol E Sgambelluri located?


Answer: Carol E Sgambelluri is located at 1005 NORTH WASHINGTON AVE Green Brook, NJ 08812.

What is the specialty for Carol E Sgambelluri ?


Answer: The Specialty of Carol E Sgambelluri is Family Family Medicine Physician.

Are there any online reviews for Carol E Sgambelluri ?


Answer: Yes! Check It Now.

Are there any other health care providers in Green Brook, NJ?


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 Carol E Sgambelluri

Number of HCPCS 125
Number of Medicare Beneficiaries 390
Number of Services 6428
Total Submitted Charge Amount 720896.49
Total Medicare Allowed Amount 183302.81
Total Medicare Payment Amount 149061.93
Total Medicare Standardized Payment Amount 180838.72
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 14
Number of Medicare Beneficiaries With Drug Services 135
Number of Drug Services 333
Total Drug Submitted Charge Amount 39803.37
Total Drug Medicare Allowed Amount 10473.2
Total Drug Medicare Payment Amount 10404.56
Total Drug Medicare Standardized Payment Amount 10196.29
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 111
Number of Medicare Beneficiaries With Medical 390
Number of Medical Services 6095
Total Medical Submitted Charge Amount 681093.12
Total Medical Medicare Allowed Amount 172829.61
Total Medical Medicare Payment Amount 138657.37
Total Medical Medicare Standardized Payment Amount 170642.43
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 32
Number of Beneficiaries Age 65 to 74 218
Number of Beneficiaries Age 75 to 84 103
Number of Beneficiaries Age Greater 84 37
Number of Female Beneficiaries 263
Number of Male Beneficiaries 127
Number of Non-Hispanic White Beneficiaries 285
Number of Black or African American Beneficiaries 48
Number of Asian Pacific Islander Beneficiaries 11
Number of Hispanic Beneficiaries 30
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 16
Number of Beneficiaries With Medicare & Medicaid Entitlement 29
Number of Beneficiaries With Medicare Only Entitlement 361
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.12
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.21
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.09
Percent (%) of Beneficiaries Identified With Depression 0.15
Percent (%) of Beneficiaries Identified With Diabetes 0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.69
Percent (%) of Beneficiaries Identified With Hypertension 0.7
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.28
Percent (%) of Beneficiaries Identified With Osteoporosis 0.06
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.34
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 0.923

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 6428
Number of Standardized 30-Day Fills 14250.5
Aggregate Cost Paid for All Claims 505260.81
Number of Day's Supply for All Claims 415871
Number of Medicare Beneficiaries 500
Number of Claims, Including Refills, for Beneficiaries Age 65+ 5760
Including Refills, for Beneficiaries Age 65+ 12884.666667
Beneficiaries Age 65+ 456786.51
Number of Day's Supply for All Claims for Beneficaries Age 65+ 376258
Number of Medicare Beneficiaries Age 65+ 456
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 676
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 5704
Aggregate Cost Paid for Generic Drugs 171701.19
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 48
Aggregate Cost Paid for Other Drugs 4660.11
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1986
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 182791.64
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 4442
Aggregate Cost Paid for Claims Filled by 322469.17
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 764
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 36696.99
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 5664
by Low-Income Subsidy 468563.82
Total Claims of Opioid Drugs, Including 285
Aggregate Cost Paid for Opioid Drugs 71875.94
Opioid Claims 44
Opioid_Tot_Clms divided by the Tot_Clms 4.4337274424
Total Claims of Long-Acting Opioid Drugs 114
Aggregate Cost Paid for Long-Acting Opioid 64521.56
Number of Day's Supply of All Long-Acting 3386
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 40
Total Claims of Antibiotic Drugs, Including 220
Aggregate Cost Paid for Antibiotic Drugs 5167.89
Antibiotic Claims 162
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 13
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 690.67
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 72.79
Number of Beneficiaries Age Less Than 65 44
Number of Beneficiaries Age 65 to 74 263
Number of Beneficiaries Age 75 to 84 148
Number of Female Beneficiaries 367
Number of Male Beneficiaries 133
Number of Non-Hispanic White 335
Number of Black or African American 96
Number of Asian Pacific Islander 16
Number of Hispanic Beneficiaries 40
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 459
Average Hierarchical Condition Category 1.01049571

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