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Chansamone M Phomakay

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NPI Number Detailed Information

Provider Information:

Name: Chansamone M Phomakay
Gender: F
Provider License Number If Given:

NPI Information:

NPI: 1477696284
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 2/14/2007

Last Update Date: 8/27/2010

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 402319
Atlanta, GA 30384
Phone Number: 4797097399
Fax Number: 7097097053

Provider Business Practice Location Address:

Address: 4700 KELLEY HWY
Fort Smith, AR 72904
Phone Number: 4795737990
Fax Number: 4795737991

Provider Taxonomy:

Primary: 390200000X
Secondary (if any): 207Q00000X
State: AR

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About Chansamone M Phomakay

Chansamone M Phomakay ( CHANSAMONE M PHOMAKAY ) is An Student in an Organized Health Care Education/Training Program Physician in Fort Smith, AR. The NPI Number for Chansamone M Phomakay is 1477696284.
The current location address for Chansamone M Phomakay is 4700 KELLEY HWY Fort Smith, AR 72904 and the contact number is 4797097399 and fax number is 7097097053. The mailing address for Chansamone M Phomakay is PO BOX 402319 Atlanta, GA 30384- 4795737990 (mailing address contact number - 4797097399).
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Business Location on Map

FAQs:

What is the NPI Number for Chansamone M Phomakay ?


Answer: The NPI Number for Chansamone M Phomakay is 1477696284

Where is Chansamone M Phomakay located?


Answer: Chansamone M Phomakay is located at 4700 KELLEY HWY Fort Smith, AR 72904.

What is the specialty for Chansamone M Phomakay ?


Answer: The Specialty of Chansamone M Phomakay is An Student in an Organized Health Care Education/Training Program Physician.

Are there any online reviews for Chansamone M Phomakay ?


Answer: Yes! Check It Now.

Are there any other health care providers in Fort Smith, AR?


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 Chansamone M Phomakay

Number of HCPCS 56
Number of Medicare Beneficiaries 203
Number of Services 1754
Total Submitted Charge Amount 162688.24
Total Medicare Allowed Amount 92743.87
Total Medicare Payment Amount 66000.81
Total Medicare Standardized Payment Amount 73244.19
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 10
Number of Medicare Beneficiaries With Drug Services 41
Number of Drug Services 516
Total Drug Submitted Charge Amount 4451
Total Drug Medicare Allowed Amount 3868.17
Total Drug Medicare Payment Amount 3740.67
Total Drug Medicare Standardized Payment Amount 3665.73
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 46
Number of Medicare Beneficiaries With Medical 203
Number of Medical Services 1238
Total Medical Submitted Charge Amount 158237.24
Total Medical Medicare Allowed Amount 88875.7
Total Medical Medicare Payment Amount 62260.14
Total Medical Medicare Standardized Payment Amount 69578.46
Average Age of Beneficiaries 68
Number of Beneficiaries Age Less 65 47
Number of Beneficiaries Age 65 to 74 99
Number of Beneficiaries Age 75 to 84 41
Number of Beneficiaries Age Greater 84 16
Number of Female Beneficiaries 126
Number of Male Beneficiaries 77
Number of Non-Hispanic White Beneficiaries 102
Number of Black or African American Beneficiaries 33
Number of Asian Pacific Islander Beneficiaries 52
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 87
Number of Beneficiaries With Medicare Only Entitlement 116
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.08
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.07
Percent (%) of Beneficiaries Identified With Heart Failure 0.12
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.24
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.11
Percent (%) of Beneficiaries Identified With Depression 0.15
Percent (%) of Beneficiaries Identified With Diabetes 0.27
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.55
Percent (%) of Beneficiaries Identified With Hypertension 0.62
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.19
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.16
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.06
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.0472

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 5554
Number of Standardized 30-Day Fills 11309.933333
Aggregate Cost Paid for All Claims 501109.35
Number of Day's Supply for All Claims 326970
Number of Medicare Beneficiaries 360
Number of Claims, Including Refills, for Beneficiaries Age 65+ 3982
Including Refills, for Beneficiaries Age 65+ 8334.1333333
Beneficiaries Age 65+ 330068.67
Number of Day's Supply for All Claims for Beneficaries Age 65+ 241246
Number of Medicare Beneficiaries Age 65+ 262
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 775
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 4717
Aggregate Cost Paid for Generic Drugs 105837.33
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 62
Aggregate Cost Paid for Other Drugs 3232.35
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 3634
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 298251.59
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1920
Aggregate Cost Paid for Claims Filled by 202857.76
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 3716
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 408848.62
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1838
by Low-Income Subsidy 92260.73
Total Claims of Opioid Drugs, Including 173
Aggregate Cost Paid for Opioid Drugs 1383.44
Opioid Claims 60
Opioid_Tot_Clms divided by the Tot_Clms 3.1148721642
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 147
Aggregate Cost Paid for Antibiotic Drugs 1936.28
Antibiotic Claims 99
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 26
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 3410.4
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 68.063888889
Number of Beneficiaries Age Less Than 65 98
Number of Beneficiaries Age 65 to 74 163
Number of Beneficiaries Age 75 to 84 76
Number of Female Beneficiaries 222
Number of Male Beneficiaries 138
Number of Non-Hispanic White 175
Number of Black or African American 55
Number of Asian Pacific Islander 95
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 16
Only Entitlement 184
Average Hierarchical Condition Category 1.0463101787

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