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Gary Blake Johnson

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NPI Number Detailed Information

Provider Information:

Name: Gary Blake Johnson
Gender: M
Provider License Number If Given: 5860718-1205

NPI Information:

NPI: 1144223827
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/24/2005

Last Update Date: 2/7/2022

Provider Business Mailing Address:

Address: 7181 S CAMPUS VIEW DR STE 200
West Jordan, UT 84084
Phone Number: 8019653505
Fax Number:

Provider Business Practice Location Address:

Address: 24 S 1100 E STE 105
Salt Lake City, UT 84102
Phone Number: 8019653600
Fax Number:

Provider Taxonomy:

Primary: 174400000X
Secondary (if any): 208800000X
State: UT

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About Gary Blake Johnson

Gary Blake Johnson ( GARY BLAKE JOHNSON ) is An Specialist Physician in Salt Lake City, UT. The NPI Number for Gary Blake Johnson is 1144223827.
The current location address for Gary Blake Johnson is 24 S 1100 E STE 105 Salt Lake City, UT 84102 and the contact number is 8019653505 and fax number is . The mailing address for Gary Blake Johnson is 7181 S CAMPUS VIEW DR STE 200 West Jordan, UT 84084- 8019653600 (mailing address contact number - 8019653505).
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider Business Location on Map

FAQs:

What is the NPI Number for Gary Blake Johnson ?


Answer: The NPI Number for Gary Blake Johnson is 1144223827

Where is Gary Blake Johnson located?


Answer: Gary Blake Johnson is located at 24 S 1100 E STE 105 Salt Lake City, UT 84102.

What is the specialty for Gary Blake Johnson ?


Answer: The Specialty of Gary Blake Johnson is An Specialist Physician.

Are there any online reviews for Gary Blake Johnson ?


Answer: Not yet!

Are there any other health care providers in Salt Lake City, UT?


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 Gary Blake Johnson

Number of HCPCS 83
Number of Medicare Beneficiaries 475
Number of Services 14868
Total Submitted Charge Amount 550522.71
Total Medicare Allowed Amount 267969.53
Total Medicare Payment Amount 205532.13
Total Medicare Standardized Payment Amount 209648.79
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 5
Number of Medicare Beneficiaries With Drug Services 29
Number of Drug Services 13199
Total Drug Submitted Charge Amount 49034.01
Total Drug Medicare Allowed Amount 23843.34
Total Drug Medicare Payment Amount 18845.31
Total Drug Medicare Standardized Payment Amount 18473.64
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 78
Number of Medicare Beneficiaries With Medical 475
Number of Medical Services 1669
Total Medical Submitted Charge Amount 501488.7
Total Medical Medicare Allowed Amount 244126.19
Total Medical Medicare Payment Amount 186686.82
Total Medical Medicare Standardized Payment Amount 191175.15
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 23
Number of Beneficiaries Age 65 to 74 264
Number of Beneficiaries Age 75 to 84 140
Number of Beneficiaries Age Greater 84 48
Number of Female Beneficiaries 73
Number of Male Beneficiaries 402
Number of Non-Hispanic White Beneficiaries 422
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 23
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 33
Number of Beneficiaries With Medicare Only Entitlement 442
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.1
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.25
Percent (%) of Beneficiaries Identified With Heart Failure 0.13
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.34
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.08
Percent (%) of Beneficiaries Identified With Depression 0.18
Percent (%) of Beneficiaries Identified With Diabetes 0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.44
Percent (%) of Beneficiaries Identified With Hypertension 0.57
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.33
Percent (%) of Beneficiaries Identified With Osteoporosis 0.05
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.35
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.046

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 Urology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 556
Number of Standardized 30-Day Fills 1008.8666667
Aggregate Cost Paid for All Claims 68845.36
Number of Day's Supply for All Claims 25783
Number of Medicare Beneficiaries 254
Number of Claims, Including Refills, for Beneficiaries Age 65+ 533
Including Refills, for Beneficiaries Age 65+ 967.53333333
Beneficiaries Age 65+ 66765.73
Number of Day's Supply for All Claims for Beneficaries Age 65+ 24778
Number of Medicare Beneficiaries Age 65+ 242
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 85
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 471
Aggregate Cost Paid for Generic Drugs 11244.31
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 251
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 37863.43
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 305
Aggregate Cost Paid for Claims Filled by 30981.93
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 50
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 17911.2
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 506
by Low-Income Subsidy 50934.16
Total Claims of Opioid Drugs, Including 65
Aggregate Cost Paid for Opioid Drugs 165.6
Opioid Claims 63
Opioid_Tot_Clms divided by the Tot_Clms 11.690647482
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 150
Aggregate Cost Paid for Antibiotic Drugs 3048.19
Antibiotic Claims 99
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 72.988188976
Number of Beneficiaries Age Less Than 65 12
Number of Beneficiaries Age 65 to 74 148
Number of Beneficiaries Age 75 to 84 74
Number of Female Beneficiaries 40
Number of Male Beneficiaries 214
Number of Non-Hispanic White 221
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 12
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 13
Only Entitlement 239
Average Hierarchical Condition Category 1.0539333856

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