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Elisa Rosario Icaza

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NPI Number Detailed Information

Provider Information:

Name: Elisa Rosario Icaza
Gender: F
Provider License Number If Given: APRN1701762

NPI Information:

NPI: 1194770271
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/24/2006

Last Update Date: 10/25/2019

Provider Business Mailing Address:

Address: 1700 66TH ST. N. SUITE 510
St. Petersburg, FL 33710
Phone Number: 7273842479
Fax Number: 7273843573

Provider Business Practice Location Address:

Address: 1700 66TH ST. N. SUITE 510
St. Petersburg, FL 33710
Phone Number: 7273842479
Fax Number: 7273843573

Provider Taxonomy:

Primary: 363LP2300X
Secondary (if any):
State: FL

Top Doctors in FL

 

About Elisa Rosario Icaza

Elisa Rosario Icaza ( ELISA ROSARIO ICAZA ) is Definition Nurse Practitioner Physician in St. Petersburg, FL. The NPI Number for Elisa Rosario Icaza is 1194770271.
The current location address for Elisa Rosario Icaza is 1700 66TH ST. N. SUITE 510 St. Petersburg, FL 33710 and the contact number is 7273842479 and fax number is 7273843573. The mailing address for Elisa Rosario Icaza is 1700 66TH ST. N. SUITE 510 St. Petersburg, FL 33710- 7273842479 (mailing address contact number - 7273842479).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Elisa Rosario Icaza ?


Answer: The NPI Number for Elisa Rosario Icaza is 1194770271

Where is Elisa Rosario Icaza located?


Answer: Elisa Rosario Icaza is located at 1700 66TH ST. N. SUITE 510 St. Petersburg, FL 33710.

What is the specialty for Elisa Rosario Icaza ?


Answer: The Specialty of Elisa Rosario Icaza is Definition Nurse Practitioner Physician.

Are there any online reviews for Elisa Rosario Icaza ?


Answer: Not yet!

Are there any other health care providers in St. Petersburg, FL?


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 Elisa Rosario Icaza

Number of HCPCS 11
Number of Medicare Beneficiaries 24
Number of Services 30
Total Submitted Charge Amount 4935
Total Medicare Allowed Amount 3188.88
Total Medicare Payment Amount 2454.48
Total Medicare Standardized Payment Amount 2431.16
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 24
Number of Medical Services 30
Total Medical Submitted Charge Amount 4935
Total Medical Medicare Allowed Amount 3188.88
Total Medical Medicare Payment Amount 2454.48
Total Medical Medicare Standardized Payment Amount 2431.16
Average Age of Beneficiaries 69
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 13
Number of Male Beneficiaries 11
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.46
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.63
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.46
Percent (%) of Beneficiaries Identified With Depression 0.63
Percent (%) of Beneficiaries Identified With Diabetes 0.5
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.5
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 3.4298

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 Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 214
Number of Standardized 30-Day Fills 304.86666667
Aggregate Cost Paid for All Claims 100443.58
Number of Day's Supply for All Claims 8933
Number of Medicare Beneficiaries 32
Number of Claims, Including Refills, for Beneficiaries Age 65+ 120
Including Refills, for Beneficiaries Age 65+ 195.8
Beneficiaries Age 65+ 64142.56
Number of Day's Supply for All Claims for Beneficaries Age 65+ 5784
Number of Medicare Beneficiaries Age 65+ 17
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 34
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 180
Aggregate Cost Paid for Generic Drugs 19172.3
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 148
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 60743.48
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 66
Aggregate Cost Paid for Claims Filled by 39700.1
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 122
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 76438.25
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 92
by Low-Income Subsidy 24005.33
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
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
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 0
Average Age of Beneficiaries 64.1875
Number of Beneficiaries Age Less Than 65 15
Number of Beneficiaries Age 65 to 74 15
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 17
Number of Male Beneficiaries 15
Number of Non-Hispanic White 25
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
Only Entitlement 19
Average Hierarchical Condition Category 1.7434485818

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Elisa Rosario Icaza in Other Directories

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