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Dr. Charles B Idom JR.

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NPI Number Detailed Information

Provider Information:

Name: Dr. Charles B Idom JR.
Gender: M
Provider License Number If Given: 50482

NPI Information:

NPI: 1316943210
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/24/2005

Last Update Date: 9/11/2017

Reputation Report:

Provider Business Mailing Address:

Address: 1434 BROADRICK DR
Dalton, GA 30720
Phone Number: 7062785961
Fax Number: 7062750280

Provider Business Practice Location Address:

Address: 1434 BROADRICK DR
Dalton, GA 30720
Phone Number: 7062785961
Fax Number: 7062750280

Provider Taxonomy:

Primary: 208800000X
Secondary (if any):
State: GA

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About Dr. Charles B Idom JR.

Dr. Charles B Idom JR.(DR. CHARLES B IDOM JR.) is A Urology Physician in Dalton, GA. The NPI Number for Dr. Charles B Idom JR. is 1316943210.
The current location address for Dr. Charles B Idom JR. is 1434 BROADRICK DR Dalton, GA 30720 and the contact number is 7062785961 and fax number is 7062750280. The mailing address for Dr. Charles B Idom JR. is 1434 BROADRICK DR Dalton, GA 30720- 7062785961 (mailing address contact number - 7062785961).
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Charles B Idom JR.?


Answer: The NPI Number for Dr. Charles B Idom JR. is 1316943210

Where is Dr. Charles B Idom JR. located?


Answer: Dr. Charles B Idom JR. is located at 1434 BROADRICK DR Dalton, GA 30720.

What is the specialty for Dr. Charles B Idom JR.?


Answer: The Specialty of Dr. Charles B Idom JR. is A Urology Physician.

Are there any online reviews for Dr. Charles B Idom JR.?


Answer: Yes! Check It Now.

Are there any other health care providers in Dalton, GA?


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 Dr. Charles B Idom JR.

Number of HCPCS 138
Number of Medicare Beneficiaries 798
Number of Services 60823
Total Submitted Charge Amount 3496752.87
Total Medicare Allowed Amount 1366414.2
Total Medicare Payment Amount 1075069.43
Total Medicare Standardized Payment Amount 1093586.57
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 14
Number of Medicare Beneficiaries With Drug Services 135
Number of Drug Services 54031
Total Drug Submitted Charge Amount 1535508.87
Total Drug Medicare Allowed Amount 832329.06
Total Drug Medicare Payment Amount 664602.47
Total Drug Medicare Standardized Payment Amount 652633.35
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 124
Number of Medicare Beneficiaries With Medical 798
Number of Medical Services 6792
Total Medical Submitted Charge Amount 1961244
Total Medical Medicare Allowed Amount 534085.14
Total Medical Medicare Payment Amount 410466.96
Total Medical Medicare Standardized Payment Amount 440953.22
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 85
Number of Beneficiaries Age 65 to 74 310
Number of Beneficiaries Age 75 to 84 302
Number of Beneficiaries Age Greater 84 101
Number of Female Beneficiaries 228
Number of Male Beneficiaries 570
Number of Non-Hispanic White Beneficiaries 720
Number of Black or African American Beneficiaries 29
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 29
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 132
Number of Beneficiaries With Medicare Only Entitlement 666
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.13
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.12
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.24
Percent (%) of Beneficiaries Identified With Heart Failure 0.24
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.42
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.19
Percent (%) of Beneficiaries Identified With Depression 0.18
Percent (%) of Beneficiaries Identified With Diabetes 0.39
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.69
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.39
Percent (%) of Beneficiaries Identified With Osteoporosis 0.06
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.42
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 1.3611

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 Urology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1277
Number of Standardized 30-Day Fills 1759.0333333
Aggregate Cost Paid for All Claims 2843560.82
Number of Day's Supply for All Claims 42587
Number of Medicare Beneficiaries 367
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1179
Including Refills, for Beneficiaries Age 65+ 1635.1
Beneficiaries Age 65+ 2839654.91
Number of Day's Supply for All Claims for Beneficaries Age 65+ 40200
Number of Medicare Beneficiaries Age 65+ 324
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 896
Aggregate Cost Paid for Generic Drugs 25493.51
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 413
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 481186.51
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 864
Aggregate Cost Paid for Claims Filled by 2362374.31
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 305
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 769116.25
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 972
by Low-Income Subsidy 2074444.57
Total Claims of Opioid Drugs, Including 103
Aggregate Cost Paid for Opioid Drugs 336.95
Opioid Claims 90
Opioid_Tot_Clms divided by the Tot_Clms 8.0657791699
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 263
Aggregate Cost Paid for Antibiotic Drugs 3265.14
Antibiotic Claims 175
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 74.054495913
Number of Beneficiaries Age Less Than 65 43
Number of Beneficiaries Age 65 to 74 142
Number of Beneficiaries Age 75 to 84 136
Number of Female Beneficiaries 107
Number of Male Beneficiaries 260
Number of Non-Hispanic White 332
Number of Black or African American 11
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 17
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 292
Average Hierarchical Condition Category 1.4198574993

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