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Janika Inez Wallace

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NPI Number Detailed Information

Provider Information:

Name: Janika Inez Wallace
Gender: F
Provider License Number If Given:

NPI Information:

NPI: 1255642930
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/28/2010

Last Update Date: 4/7/2015

Reputation Report:

Provider Business Mailing Address:

Address: 104 E CECIL AVE 1ST FLOOR
North East, MD 21901
Phone Number: 4102877021
Fax Number: 4102877067

Provider Business Practice Location Address:

Address: 104 E CECIL AVE 1ST FLOOR
North East, MD 21901
Phone Number: 4102877021
Fax Number: 4102877067

Provider Taxonomy:

Primary: 390200000X
Secondary (if any): 207Q00000X
State: MD

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About Janika Inez Wallace

Janika Inez Wallace ( JANIKA INEZ WALLACE ) is An Student in an Organized Health Care Education/Training Program Physician in North East, MD. The NPI Number for Janika Inez Wallace is 1255642930.
The current location address for Janika Inez Wallace is 104 E CECIL AVE 1ST FLOOR North East, MD 21901 and the contact number is 4102877021 and fax number is 4102877067. The mailing address for Janika Inez Wallace is 104 E CECIL AVE 1ST FLOOR North East, MD 21901- 4102877021 (mailing address contact number - 4102877021).
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Business Location on Map

FAQs:

What is the NPI Number for Janika Inez Wallace ?


Answer: The NPI Number for Janika Inez Wallace is 1255642930

Where is Janika Inez Wallace located?


Answer: Janika Inez Wallace is located at 104 E CECIL AVE 1ST FLOOR North East, MD 21901.

What is the specialty for Janika Inez Wallace ?


Answer: The Specialty of Janika Inez Wallace is An Student in an Organized Health Care Education/Training Program Physician.

Are there any online reviews for Janika Inez Wallace ?


Answer: Yes! Check It Now.

Are there any other health care providers in North East, MD?


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 Janika Inez Wallace

Number of HCPCS 30
Number of Medicare Beneficiaries 288
Number of Services 756
Total Submitted Charge Amount 120231.75
Total Medicare Allowed Amount 79226.33
Total Medicare Payment Amount 60400.29
Total Medicare Standardized Payment Amount 57846.5
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 6
Number of Medicare Beneficiaries With Drug Services 27
Number of Drug Services 31
Total Drug Submitted Charge Amount 6191.25
Total Drug Medicare Allowed Amount 2211.18
Total Drug Medicare Payment Amount 2201.78
Total Drug Medicare Standardized Payment Amount 2157.65
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 24
Number of Medicare Beneficiaries With Medical 288
Number of Medical Services 725
Total Medical Submitted Charge Amount 114040.5
Total Medical Medicare Allowed Amount 77015.15
Total Medical Medicare Payment Amount 58198.51
Total Medical Medicare Standardized Payment Amount 55688.85
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 20
Number of Beneficiaries Age 65 to 74 143
Number of Beneficiaries Age 75 to 84 98
Number of Beneficiaries Age Greater 84 27
Number of Female Beneficiaries 178
Number of Male Beneficiaries 110
Number of Non-Hispanic White Beneficiaries 216
Number of Black or African American Beneficiaries 54
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 15
Number of Beneficiaries With Medicare Only Entitlement 273
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.07
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.08
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.13
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.29
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.08
Percent (%) of Beneficiaries Identified With Depression 0.17
Percent (%) of Beneficiaries Identified With Diabetes 0.27
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.6
Percent (%) of Beneficiaries Identified With Hypertension 0.67
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.31
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.42
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 0.9532

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 2913
Number of Standardized 30-Day Fills 7284.2333333
Aggregate Cost Paid for All Claims 177239.92
Number of Day's Supply for All Claims 213839
Number of Medicare Beneficiaries 322
Number of Claims, Including Refills, for Beneficiaries Age 65+ 2656
Including Refills, for Beneficiaries Age 65+ 6752.2333333
Beneficiaries Age 65+ 163309.18
Number of Day's Supply for All Claims for Beneficaries Age 65+ 198859
Number of Medicare Beneficiaries Age 65+ 296
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 2608
Aggregate Cost Paid for Generic Drugs 54165.76
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 801
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 47281.86
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2112
Aggregate Cost Paid for Claims Filled by 129958.06
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 497
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 46375.93
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 2416
by Low-Income Subsidy 130863.99
Total Claims of Opioid Drugs, Including 11
Aggregate Cost Paid for Opioid Drugs 41.4
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 0.3776175764
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 55
Aggregate Cost Paid for Antibiotic Drugs 651.5
Antibiotic Claims 41
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 73.220496894
Number of Beneficiaries Age Less Than 65 26
Number of Beneficiaries Age 65 to 74 162
Number of Beneficiaries Age 75 to 84 104
Number of Female Beneficiaries 212
Number of Male Beneficiaries 110
Number of Non-Hispanic White 230
Number of Black or African American 62
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 12
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 293
Average Hierarchical Condition Category 1.069265552

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