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Mr. Dittana Phoncharoensri

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NPI Number Detailed Information

Provider Information:

Name: Mr. Dittana Phoncharoensri
Gender: M
Provider License Number If Given: 201300784

NPI Information:

NPI: 1750585170
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/11/2007

Last Update Date: 10/25/2020

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 60447
Charlotte, NC 28260
Phone Number: 3368933180
Fax Number: 3368933189

Provider Business Practice Location Address:

Address: 152 E KINDERTON WAY STE 101
Bermuda Run, NC 27006
Phone Number: 3368933180
Fax Number: 3368933189

Provider Taxonomy:

Primary: 2084S0012X
Secondary (if any):
State: NC

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About Mr. Dittana Phoncharoensri

Mr. Dittana Phoncharoensri (MR. DITTANA PHONCHAROENSRI ) is A Psychiatry & Neurology Physician in Bermuda Run, NC. The NPI Number for Mr. Dittana Phoncharoensri is 1750585170.
The current location address for Mr. Dittana Phoncharoensri is 152 E KINDERTON WAY STE 101 Bermuda Run, NC 27006 and the contact number is 3368933180 and fax number is 3368933189. The mailing address for Mr. Dittana Phoncharoensri is PO BOX 60447 Charlotte, NC 28260- 3368933180 (mailing address contact number - 3368933180).
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Dittana Phoncharoensri ?


Answer: The NPI Number for Mr. Dittana Phoncharoensri is 1750585170

Where is Mr. Dittana Phoncharoensri located?


Answer: Mr. Dittana Phoncharoensri is located at 152 E KINDERTON WAY STE 101 Bermuda Run, NC 27006.

What is the specialty for Mr. Dittana Phoncharoensri ?


Answer: The Specialty of Mr. Dittana Phoncharoensri is A Psychiatry & Neurology Physician.

Are there any online reviews for Mr. Dittana Phoncharoensri ?


Answer: Yes! Check It Now.

Are there any other health care providers in Bermuda Run, NC?


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 Mr. Dittana Phoncharoensri

Number of HCPCS 11
Number of Medicare Beneficiaries 348
Number of Services 653
Total Submitted Charge Amount 198806
Total Medicare Allowed Amount 86244.35
Total Medicare Payment Amount 64574.32
Total Medicare Standardized Payment Amount 65551.18
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 11
Number of Medicare Beneficiaries With Medical 348
Number of Medical Services 653
Total Medical Submitted Charge Amount 198806
Total Medical Medicare Allowed Amount 86244.35
Total Medical Medicare Payment Amount 64574.32
Total Medical Medicare Standardized Payment Amount 65551.18
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 48
Number of Beneficiaries Age 65 to 74 148
Number of Beneficiaries Age 75 to 84 116
Number of Beneficiaries Age Greater 84 36
Number of Female Beneficiaries 203
Number of Male Beneficiaries 145
Number of Non-Hispanic White Beneficiaries 304
Number of Black or African American Beneficiaries 24
Number of Asian Pacific Islander Beneficiaries
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 51
Number of Beneficiaries With Medicare Only Entitlement 297
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.15
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.16
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.14
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.4
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.18
Percent (%) of Beneficiaries Identified With Depression 0.35
Percent (%) of Beneficiaries Identified With Diabetes 0.28
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.66
Percent (%) of Beneficiaries Identified With Hypertension 0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.32
Percent (%) of Beneficiaries Identified With Osteoporosis 0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.53
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.03
Percent (%) of Beneficiaries Identified With Stroke 0.23
Average HCC Risk Score of Beneficiaries 1.3475

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 Neurology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1470
Number of Standardized 30-Day Fills 2445.0333333
Aggregate Cost Paid for All Claims 294184.62
Number of Day's Supply for All Claims 72306
Number of Medicare Beneficiaries 320
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1170
Including Refills, for Beneficiaries Age 65+ 2001.6333333
Beneficiaries Age 65+ 224601.44
Number of Day's Supply for All Claims for Beneficaries Age 65+ 59390
Number of Medicare Beneficiaries Age 65+ 264
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 97
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1373
Aggregate Cost Paid for Generic Drugs 39284.42
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 909
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 208588.27
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 561
Aggregate Cost Paid for Claims Filled by 85596.35
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 335
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 93799.97
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1135
by Low-Income Subsidy 200384.65
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
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
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+ 22
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 540.63
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 72.55
Number of Beneficiaries Age Less Than 65 56
Number of Beneficiaries Age 65 to 74 115
Number of Beneficiaries Age 75 to 84 107
Number of Female Beneficiaries 183
Number of Male Beneficiaries 137
Number of Non-Hispanic White 284
Number of Black or African American 16
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 263
Average Hierarchical Condition Category 1.4135622845

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