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Everett Roy Forman

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NPI Number Detailed Information

Provider Information:

Name: Everett Roy Forman
Gender: M
Provider License Number If Given: 103928-1

NPI Information:

NPI: 1528061967
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/31/2005

Last Update Date: 7/8/2007

Reputation Report:

Provider Business Mailing Address:

Address: 47 SWEET RD
Ballston Lake, NY 12019
Phone Number: 5187856004
Fax Number: 5187851702

Provider Business Practice Location Address:

Address: 585 TROY SCHENECTADY RD
Latham, NY 12110
Phone Number: 5187856004
Fax Number: 5187851702

Provider Taxonomy:

Primary: 208D00000X
Secondary (if any):
State: NY

Top Doctors in NY

 

About Everett Roy Forman

Everett Roy Forman ( EVERETT ROY FORMAN ) is Definition General Practice Physician in Latham, NY. The NPI Number for Everett Roy Forman is 1528061967.
The current location address for Everett Roy Forman is 585 TROY SCHENECTADY RD Latham, NY 12110 and the contact number is 5187856004 and fax number is 5187851702. The mailing address for Everett Roy Forman is 47 SWEET RD Ballston Lake, NY 12019- 5187856004 (mailing address contact number - 5187856004).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Everett Roy Forman ?


Answer: The NPI Number for Everett Roy Forman is 1528061967

Where is Everett Roy Forman located?


Answer: Everett Roy Forman is located at 585 TROY SCHENECTADY RD Latham, NY 12110.

What is the specialty for Everett Roy Forman ?


Answer: The Specialty of Everett Roy Forman is Definition General Practice Physician.

Are there any online reviews for Everett Roy Forman ?


Answer: Yes! Check It Now.

Are there any other health care providers in Latham, NY?


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 Everett Roy Forman

Number of HCPCS 17
Number of Medicare Beneficiaries 114
Number of Services 351
Total Submitted Charge Amount 43549
Total Medicare Allowed Amount 30085.11
Total Medicare Payment Amount 20092.61
Total Medicare Standardized Payment Amount 20636.22
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 72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 63
Number of Beneficiaries Age 75 to 84 31
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 55
Number of Male Beneficiaries 59
Number of Non-Hispanic White Beneficiaries 100
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.17
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.21
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.25
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.22
Percent (%) of Beneficiaries Identified With Diabetes 0.27
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.55
Percent (%) of Beneficiaries Identified With Hypertension 0.58
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.39
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.37
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.1545

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 General Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 3565
Number of Standardized 30-Day Fills 7531.9
Aggregate Cost Paid for All Claims 352323.53
Number of Day's Supply for All Claims 220677
Number of Medicare Beneficiaries 321
Number of Claims, Including Refills, for Beneficiaries Age 65+ 3391
Including Refills, for Beneficiaries Age 65+ 7217.9
Beneficiaries Age 65+ 331411.7
Number of Day's Supply for All Claims for Beneficaries Age 65+ 211479
Number of Medicare Beneficiaries Age 65+ 303
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 542
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 3009
Aggregate Cost Paid for Generic Drugs 79741.87
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 14
Aggregate Cost Paid for Other Drugs 689.54
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 2815
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 285003.13
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 750
Aggregate Cost Paid for Claims Filled by 67320.4
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 306
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 41030.28
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 3259
by Low-Income Subsidy 311293.25
Total Claims of Opioid Drugs, Including 18
Aggregate Cost Paid for Opioid Drugs 124.9
Opioid Claims 13
Opioid_Tot_Clms divided by the Tot_Clms 0.5049088359
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 76
Aggregate Cost Paid for Antibiotic Drugs 609.9
Antibiotic Claims 53
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 24
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 589.94
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 73.074766355
Number of Beneficiaries Age Less Than 65 18
Number of Beneficiaries Age 65 to 74 173
Number of Beneficiaries Age 75 to 84 107
Number of Female Beneficiaries 146
Number of Male Beneficiaries 175
Number of Non-Hispanic White 296
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 13
Only Entitlement 296
Average Hierarchical Condition Category 1.1046184674

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