Jerry Sullivan

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NPI Number Detailed Information

Provider Information:

Name:	Jerry Sullivan
Gender:	M
Provider License Number If Given:	4285

NPI Information:

NPI:	1629062724
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/2/2005
Last Update Date:	4/6/2021

Provider Business Mailing Address:

Address:	907 18TH ST E STE 400 Tifton, GA 31794
Phone Number:	2293914100
Fax Number:

Provider Business Practice Location Address:

Address:	2225 US HIGHWAY 41 N Tifton, GA 31794
Phone Number:	2293914100
Fax Number:

Provider Taxonomy:

Primary:	363AM0700X
Secondary (if any):
State:	GA

Top Doctors in GA

About Jerry Sullivan

Jerry Sullivan ( JERRY SULLIVAN ) is Definition Physician Assistant Physician in Tifton, GA. The NPI Number for Jerry Sullivan is 1629062724.

The current location address for Jerry Sullivan is 2225 US HIGHWAY 41 N Tifton, GA 31794 and the contact number is 2293914100 and fax number is . The mailing address for Jerry Sullivan is 907 18TH ST E STE 400 Tifton, GA 31794- 2293914100 (mailing address contact number - 2293914100).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Jerry Sullivan ?

Answer: The NPI Number for Jerry Sullivan is 1629062724

Where is Jerry Sullivan located?

Answer: Jerry Sullivan is located at 2225 US HIGHWAY 41 N Tifton, GA 31794.

What is the specialty for Jerry Sullivan ?

Answer: The Specialty of Jerry Sullivan is Definition Physician Assistant Physician.

Are there any online reviews for Jerry Sullivan ?

Answer: Not yet!

Are there any other health care providers in Tifton, GA?

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 Jerry Sullivan

Number of HCPCS	10
Number of Medicare Beneficiaries	207
Number of Services	291
Total Submitted Charge Amount	47776
Total Medicare Allowed Amount	28015.1
Total Medicare Payment Amount	20019.9
Total Medicare Standardized Payment Amount	21136.14
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	10
Number of Medicare Beneficiaries With Medical	207
Number of Medical Services	291
Total Medical Submitted Charge Amount	47776
Total Medical Medicare Allowed Amount	28015.1
Total Medical Medicare Payment Amount	20019.9
Total Medical Medicare Standardized Payment Amount	21136.14
Average Age of Beneficiaries	70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	96
Number of Beneficiaries Age 75 to 84	58
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	126
Number of Male Beneficiaries	81
Number of Non-Hispanic White Beneficiaries	153
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	69
Number of Beneficiaries With Medicare Only Entitlement	138
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.14
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.18
Percent (%) of Beneficiaries Identified With Asthma	0.11
Percent (%) of Beneficiaries Identified With Cancer	0.14
Percent (%) of Beneficiaries Identified With Heart Failure	0.21
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.43
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.27
Percent (%) of Beneficiaries Identified With Depression	0.2
Percent (%) of Beneficiaries Identified With Diabetes	0.43
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.7
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.37
Percent (%) of Beneficiaries Identified With Osteoporosis	0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.51
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.06
Average HCC Risk Score of Beneficiaries	1.7666

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	Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	1852
Number of Standardized 30-Day Fills	2841.0666667
Aggregate Cost Paid for All Claims	1172876.39
Number of Day's Supply for All Claims	73663
Number of Medicare Beneficiaries	580
Number of Claims, Including Refills, for Beneficiaries Age 65+	1299
Including Refills, for Beneficiaries Age 65+	1975
Beneficiaries Age 65+	675889.49
Number of Day's Supply for All Claims for Beneficaries Age 65+	50750
Number of Medicare Beneficiaries Age 65+	428
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	802
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	1050
Aggregate Cost Paid for Generic Drugs	46895.14
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	1248
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	868140.85
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	604
Aggregate Cost Paid for Claims Filled by	304735.54
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1165
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	869882.58
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	687
by Low-Income Subsidy	302993.81
Total Claims of Opioid Drugs, Including	0
Aggregate Cost Paid for Opioid Drugs	0
Opioid Claims	0
Opioid_Tot_Clms divided by the Tot_Clms	0
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
Total Claims of Antibiotic Drugs, Including	57
Aggregate Cost Paid for Antibiotic Drugs	71294.49
Antibiotic Claims	32
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	68.186206897
Number of Beneficiaries Age Less Than 65	152
Number of Beneficiaries Age 65 to 74	296
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	337
Number of Male Beneficiaries	243
Number of Non-Hispanic White	374
Number of Black or African American	198
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	303
Average Hierarchical Condition Category	1.6288960155

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