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James Pritsiolas

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NPI Number Detailed Information

Provider Information:

Name: James Pritsiolas
Gender: M
Provider License Number If Given: 25MA07882500

NPI Information:

NPI: 1063451698
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/6/2006

Last Update Date: 4/25/2017

Reputation Report:

Provider Business Mailing Address:

Address: 1 DIAMOND HILL RD
Berkeley Heights, NJ 07922
Phone Number: 2012430700
Fax Number: 2012430377

Provider Business Practice Location Address:

Address: 75 E NORTHFIELD RD
Livingston, NJ 07039
Phone Number: 2012430700
Fax Number: 2012430377

Provider Taxonomy:

Primary: 207RN0300X
Secondary (if any):
State: NJ

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About James Pritsiolas

James Pritsiolas ( JAMES PRITSIOLAS ) is An Internal Medicine Physician in Livingston, NJ. The NPI Number for James Pritsiolas is 1063451698.
The current location address for James Pritsiolas is 75 E NORTHFIELD RD Livingston, NJ 07039 and the contact number is 2012430700 and fax number is 2012430377. The mailing address for James Pritsiolas is 1 DIAMOND HILL RD Berkeley Heights, NJ 07922- 2012430700 (mailing address contact number - 2012430700).
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider Business Location on Map

FAQs:

What is the NPI Number for James Pritsiolas ?


Answer: The NPI Number for James Pritsiolas is 1063451698

Where is James Pritsiolas located?


Answer: James Pritsiolas is located at 75 E NORTHFIELD RD Livingston, NJ 07039.

What is the specialty for James Pritsiolas ?


Answer: The Specialty of James Pritsiolas is An Internal Medicine Physician.

Are there any online reviews for James Pritsiolas ?


Answer: Yes! Check It Now.

Are there any other health care providers in Livingston, NJ?


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 Pritsiolas

Number of HCPCS 87
Number of Medicare Beneficiaries 481
Number of Services 4063
Total Submitted Charge Amount 581519
Total Medicare Allowed Amount 243789.28
Total Medicare Payment Amount 196034.37
Total Medicare Standardized Payment Amount 183003.47
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 74
Number of Beneficiaries Age Less 65 54
Number of Beneficiaries Age 65 to 74 188
Number of Beneficiaries Age 75 to 84 167
Number of Beneficiaries Age Greater 84 72
Number of Female Beneficiaries 231
Number of Male Beneficiaries 250
Number of Non-Hispanic White Beneficiaries 371
Number of Black or African American Beneficiaries 59
Number of Asian Pacific Islander Beneficiaries 12
Number of Hispanic Beneficiaries 26
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 13
Number of Beneficiaries With Medicare & Medicaid Entitlement 43
Number of Beneficiaries With Medicare Only Entitlement 438
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.17
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.14
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.13
Percent (%) of Beneficiaries Identified With Heart Failure 0.35
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.75
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.16
Percent (%) of Beneficiaries Identified With Depression 0.27
Percent (%) of Beneficiaries Identified With Diabetes 0.48
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.46
Percent (%) of Beneficiaries Identified With Osteoporosis 0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.41
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.04
Percent (%) of Beneficiaries Identified With Stroke 0.07
Average HCC Risk Score of Beneficiaries 2.2341

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 Nephrology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 2701
Number of Standardized 30-Day Fills 6805.1333333
Aggregate Cost Paid for All Claims 283535.92
Number of Day's Supply for All Claims 201998
Number of Medicare Beneficiaries 373
Number of Claims, Including Refills, for Beneficiaries Age 65+ 2354
Including Refills, for Beneficiaries Age 65+ 6102.7
Beneficiaries Age 65+ 236433.52
Number of Day's Supply for All Claims for Beneficaries Age 65+ 181289
Number of Medicare Beneficiaries Age 65+ 337
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 284
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 2417
Aggregate Cost Paid for Generic Drugs 98893.07
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 383
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 22622.23
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2318
Aggregate Cost Paid for Claims Filled by 260913.69
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 358
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 37633.62
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 2343
by Low-Income Subsidy 245902.3
Total Claims of Opioid Drugs, Including 18
Aggregate Cost Paid for Opioid Drugs 93.67
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 0.6664198445
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
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 57
Aggregate Cost Paid for Antibiotic Drugs 1480.3
Antibiotic Claims 29
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 74.335120643
Number of Beneficiaries Age Less Than 65 36
Number of Beneficiaries Age 65 to 74 150
Number of Beneficiaries Age 75 to 84 135
Number of Female Beneficiaries 189
Number of Male Beneficiaries 184
Number of Non-Hispanic White 265
Number of Black or African American 62
Number of Asian Pacific Islander 13
Number of Hispanic Beneficiaries 19
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 14
Only Entitlement 339
Average Hierarchical Condition Category 2.0542291397

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