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James M Kelly

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NPI Number Detailed Information

Provider Information:

Name: James M Kelly
Gender: M
Provider License Number If Given: MD428418

NPI Information:

NPI: 1104861343
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 6/19/2006
Last Update Date: 9/1/2007
Reputation Report:

Provider Business Mailing Address:

Address: 1635 W MAIN ST SUITE 700
Ephrata, PA 17522
Phone Number: 7177380660
Fax Number: 7177380658

Provider Business Practice Location Address:

Address: 1635 W MAIN ST SUITE 700
Ephrata, PA 17522
Phone Number: 7177380660
Fax Number: 7177380658

Provider Taxonomy:

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

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About James M Kelly

James M Kelly ( JAMES M KELLY ) is Family Family Medicine Physician in Ephrata, PA. The NPI Number for James M Kelly is 1104861343.
The current location address for James M Kelly is 1635 W MAIN ST SUITE 700 Ephrata, PA 17522 and the contact number is 7177380660 and fax number is 7177380658. The mailing address for James M Kelly is 1635 W MAIN ST SUITE 700 Ephrata, PA 17522- 7177380660 (mailing address contact number - 7177380660).
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 James M Kelly ?


Answer: The NPI Number for James M Kelly is 1104861343

Where is James M Kelly located?


Answer: James M Kelly is located at 1635 W MAIN ST SUITE 700 Ephrata, PA 17522.

What is the specialty for James M Kelly ?


Answer: The Specialty of James M Kelly is Family Family Medicine Physician.

Are there any online reviews for James M Kelly ?


Answer: Yes! Check It Now.

Are there any other health care providers in Ephrata, PA?


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 James M Kelly

Number of HCPCS 60
Number of Medicare Beneficiaries 377
Number of Services 1293
Total Submitted Charge Amount 188038
Total Medicare Allowed Amount 101424.48
Total Medicare Payment Amount 78336.74
Total Medicare Standardized Payment Amount 79057.16
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 9
Number of Medicare Beneficiaries With Drug Services 140
Number of Drug Services 228
Total Drug Submitted Charge Amount 16458
Total Drug Medicare Allowed Amount 10069.54
Total Drug Medicare Payment Amount 10039.56
Total Drug Medicare Standardized Payment Amount 9841.13
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 51
Number of Medicare Beneficiaries With Medical 377
Number of Medical Services 1065
Total Medical Submitted Charge Amount 171580
Total Medical Medicare Allowed Amount 91354.94
Total Medical Medicare Payment Amount 68297.18
Total Medical Medicare Standardized Payment Amount 69216.03
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 36
Number of Beneficiaries Age 65 to 74 211
Number of Beneficiaries Age 75 to 84 104
Number of Beneficiaries Age Greater 84 26
Number of Female Beneficiaries 229
Number of Male Beneficiaries 148
Number of Non-Hispanic White Beneficiaries 359
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 17
Number of Beneficiaries With Medicare Only Entitlement 360
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.1
Percent (%) of Beneficiaries Identified With Cancer 0.14
Percent (%) of Beneficiaries Identified With Heart Failure 0.12
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.31
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.1
Percent (%) of Beneficiaries Identified With Depression 0.27
Percent (%) of Beneficiaries Identified With Diabetes 0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.68
Percent (%) of Beneficiaries Identified With Hypertension 0.63
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.27
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.4
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.0968

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 6424
Number of Standardized 30-Day Fills 13979.533333
Aggregate Cost Paid for All Claims 773232.07
Number of Day's Supply for All Claims 410563
Number of Medicare Beneficiaries 406
Number of Claims, Including Refills, for Beneficiaries Age 65+ 5444
Including Refills, for Beneficiaries Age 65+ 12340.866667
Beneficiaries Age 65+ 667931.7
Number of Day's Supply for All Claims for Beneficaries Age 65+ 362806
Number of Medicare Beneficiaries Age 65+ 362
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1051
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 5286
Aggregate Cost Paid for Generic Drugs 113354.35
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 87
Aggregate Cost Paid for Other Drugs 11359.32
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 3430
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 429345
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2994
Aggregate Cost Paid for Claims Filled by 343887.07
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 868
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 137482.89
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 5556
by Low-Income Subsidy 635749.18
Total Claims of Opioid Drugs, Including 183
Aggregate Cost Paid for Opioid Drugs 5845.04
Opioid Claims 36
Opioid_Tot_Clms divided by the Tot_Clms 2.8486924035
Total Claims of Long-Acting Opioid Drugs 17
Aggregate Cost Paid for Long-Acting Opioid 2182.92
Number of Day's Supply of All Long-Acting 502
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 9.2896174863
Total Claims of Antibiotic Drugs, Including 125
Aggregate Cost Paid for Antibiotic Drugs 1360.32
Antibiotic Claims 76
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 71.849753695
Number of Beneficiaries Age Less Than 65 44
Number of Beneficiaries Age 65 to 74 217
Number of Beneficiaries Age 75 to 84 120
Number of Female Beneficiaries 240
Number of Male Beneficiaries 166
Number of Non-Hispanic White 391
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 11
Only Entitlement 371
Average Hierarchical Condition Category 1.1791136264

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