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Dr. Daphne Tessalee

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NPI Number Detailed Information

Provider Information:

Name: Dr. Daphne Tessalee
Gender: F
Provider License Number If Given: 36094766

NPI Information:

NPI: 1124078357
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/10/2006

Last Update Date: 3/24/2021

Reputation Report:

Provider Business Mailing Address:

Address: 1325 COMMUNITY MEMORIAL DR
La Grange, IL 60525
Phone Number: 7082458900
Fax Number: 7082455604

Provider Business Practice Location Address:

Address: 1325 COMMUNITY MEMORIAL DR
La Grange, IL 60525
Phone Number: 7082458900
Fax Number: 7082455604

Provider Taxonomy:

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

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About Dr. Daphne Tessalee

Dr. Daphne Tessalee (DR. DAPHNE TESSALEE ) is Family Family Medicine Physician in La Grange, IL. The NPI Number for Dr. Daphne Tessalee is 1124078357.
The current location address for Dr. Daphne Tessalee is 1325 COMMUNITY MEMORIAL DR La Grange, IL 60525 and the contact number is 7082458900 and fax number is 7082455604. The mailing address for Dr. Daphne Tessalee is 1325 COMMUNITY MEMORIAL DR La Grange, IL 60525- 7082458900 (mailing address contact number - 7082458900).
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 Dr. Daphne Tessalee ?


Answer: The NPI Number for Dr. Daphne Tessalee is 1124078357

Where is Dr. Daphne Tessalee located?


Answer: Dr. Daphne Tessalee is located at 1325 COMMUNITY MEMORIAL DR La Grange, IL 60525.

What is the specialty for Dr. Daphne Tessalee ?


Answer: The Specialty of Dr. Daphne Tessalee is Family Family Medicine Physician.

Are there any online reviews for Dr. Daphne Tessalee ?


Answer: Yes! Check It Now.

Are there any other health care providers in La Grange, IL?


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. Daphne Tessalee

Number of HCPCS 28
Number of Medicare Beneficiaries 95
Number of Services 187
Total Submitted Charge Amount 30684
Total Medicare Allowed Amount 15723.16
Total Medicare Payment Amount 12152.79
Total Medicare Standardized Payment Amount 11251.31
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 78
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84 28
Number of Beneficiaries Age Greater 84 32
Number of Female Beneficiaries 64
Number of Male Beneficiaries 31
Number of Non-Hispanic White Beneficiaries 74
Number of Black or African American Beneficiaries
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
Number of Beneficiaries With Medicare & Medicaid Entitlement 19
Number of Beneficiaries With Medicare Only Entitlement 76
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.15
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.23
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.12
Percent (%) of Beneficiaries Identified With Heart Failure 0.34
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.48
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.15
Percent (%) of Beneficiaries Identified With Depression 0.28
Percent (%) of Beneficiaries Identified With Diabetes 0.4
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.62
Percent (%) of Beneficiaries Identified With Hypertension 0.68
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.43
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.46
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.4892

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 303
Number of Standardized 30-Day Fills 499.56666667
Aggregate Cost Paid for All Claims 22232.12
Number of Day's Supply for All Claims 14227
Number of Medicare Beneficiaries 26
Number of Claims, Including Refills, for Beneficiaries Age 65+ 219
Including Refills, for Beneficiaries Age 65+ 387.56666667
Beneficiaries Age 65+ 15450.33
Number of Day's Supply for All Claims for Beneficaries Age 65+ 11284
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 33
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 270
Aggregate Cost Paid for Generic Drugs 7879.19
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 189
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 20033.92
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 114
Aggregate Cost Paid for Claims Filled by 2198.2
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 190
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 20550.39
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 113
by Low-Income Subsidy 1681.73
Total Claims of Opioid Drugs, Including 43
Aggregate Cost Paid for Opioid Drugs 1645.74
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 14.191419142
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
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
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
Average Age of Beneficiaries 68.5
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
Number of Male Beneficiaries
Number of Non-Hispanic White 22
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement 15
Average Hierarchical Condition Category 0.9859230769

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