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Dale A Kooistra

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NPI Number Detailed Information

Provider Information:

Name: Dale A Kooistra
Gender: M
Provider License Number If Given: G55734

NPI Information:

NPI: 1831182971
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/24/2005

Last Update Date: 7/8/2007

Reputation Report:

Provider Business Mailing Address:

Address: 15525 POMERADO RD SUITE D2
Poway, CA 92064
Phone Number: 8586758001
Fax Number: 8584871337

Provider Business Practice Location Address:

Address: 15525 POMERADO RD SUITE D2
Poway, CA 92064
Phone Number: 8586758001
Fax Number: 8584871337

Provider Taxonomy:

Primary: 207N00000X
Secondary (if any):
State: CA

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About Dale A Kooistra

Dale A Kooistra ( DALE A KOOISTRA ) is A Dermatology Physician in Poway, CA. The NPI Number for Dale A Kooistra is 1831182971.
The current location address for Dale A Kooistra is 15525 POMERADO RD SUITE D2 Poway, CA 92064 and the contact number is 8586758001 and fax number is 8584871337. The mailing address for Dale A Kooistra is 15525 POMERADO RD SUITE D2 Poway, CA 92064- 8586758001 (mailing address contact number - 8586758001).
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dale A Kooistra ?


Answer: The NPI Number for Dale A Kooistra is 1831182971

Where is Dale A Kooistra located?


Answer: Dale A Kooistra is located at 15525 POMERADO RD SUITE D2 Poway, CA 92064.

What is the specialty for Dale A Kooistra ?


Answer: The Specialty of Dale A Kooistra is A Dermatology Physician.

Are there any online reviews for Dale A Kooistra ?


Answer: Yes! Check It Now.

Are there any other health care providers in Poway, 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 Dale A Kooistra

Number of HCPCS 66
Number of Medicare Beneficiaries 482
Number of Services 4329
Total Submitted Charge Amount 454122
Total Medicare Allowed Amount 233344.98
Total Medicare Payment Amount 173530.22
Total Medicare Standardized Payment Amount 155321.26
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 34
Number of Drug Services 968
Total Drug Submitted Charge Amount 3240
Total Drug Medicare Allowed Amount 1524.82
Total Drug Medicare Payment Amount 1216.5
Total Drug Medicare Standardized Payment Amount 1192.18
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 62
Number of Medicare Beneficiaries With Medical 482
Number of Medical Services 3361
Total Medical Submitted Charge Amount 450882
Total Medical Medicare Allowed Amount 231820.16
Total Medical Medicare Payment Amount 172313.72
Total Medical Medicare Standardized Payment Amount 154129.08
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 245
Number of Beneficiaries Age 75 to 84 168
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 196
Number of Male Beneficiaries 286
Number of Non-Hispanic White Beneficiaries 445
Number of Black or African American Beneficiaries 0
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 20
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.04
Percent (%) of Beneficiaries Identified With Cancer 0.12
Percent (%) of Beneficiaries Identified With Heart Failure 0.11
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.22
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.04
Percent (%) of Beneficiaries Identified With Depression 0.14
Percent (%) of Beneficiaries Identified With Diabetes 0.16
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.59
Percent (%) of Beneficiaries Identified With Hypertension 0.56
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.21
Percent (%) of Beneficiaries Identified With Osteoporosis 0.07
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 0.04
Average HCC Risk Score of Beneficiaries 0.9026

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 Dermatology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 864
Number of Standardized 30-Day Fills 965.63333333
Aggregate Cost Paid for All Claims 148102.79
Number of Day's Supply for All Claims 21500
Number of Medicare Beneficiaries 376
Number of Claims, Including Refills, for Beneficiaries Age 65+ 811
Including Refills, for Beneficiaries Age 65+ 912.63333333
Beneficiaries Age 65+ 137111.41
Number of Day's Supply for All Claims for Beneficaries Age 65+ 20346
Number of Medicare Beneficiaries Age 65+ 365
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 32
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 832
Aggregate Cost Paid for Generic Drugs 32355.62
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 475
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 23547.64
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 389
Aggregate Cost Paid for Claims Filled by 124555.15
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 85
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 16091.18
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 779
by Low-Income Subsidy 132011.61
Total Claims of Opioid Drugs, Including 26
Aggregate Cost Paid for Opioid Drugs 102.69
Opioid Claims 24
Opioid_Tot_Clms divided by the Tot_Clms 3.0092592593
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 175
Aggregate Cost Paid for Antibiotic Drugs 3649.2
Antibiotic Claims 138
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 76.018617021
Number of Beneficiaries Age Less Than 65 11
Number of Beneficiaries Age 65 to 74 173
Number of Beneficiaries Age 75 to 84 128
Number of Female Beneficiaries 170
Number of Male Beneficiaries 206
Number of Non-Hispanic White 335
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 16
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 17
Only Entitlement 359
Average Hierarchical Condition Category 1.1138812029

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