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Johanna Militza Camacho

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NPI Number Detailed Information

Provider Information:

Name: Johanna Militza Camacho
Gender: F
Provider License Number If Given: 16947

NPI Information:

NPI: 1679756399
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 12/17/2007

Last Update Date: 9/13/2012

Provider Business Mailing Address:

Address: PO BOX 1910
Eagle Butte, SD 57625
Phone Number: 7875199355
Fax Number:

Provider Business Practice Location Address:

Address: 24276 166 TH ST AIRPORT ROAD
Eagle Butte, SD 57625
Phone Number: 7875199355
Fax Number:

Provider Taxonomy:

Primary: 208D00000X
Secondary (if any):
State: SD

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About Johanna Militza Camacho

Johanna Militza Camacho ( JOHANNA MILITZA CAMACHO ) is Definition General Practice Physician in Eagle Butte, SD. The NPI Number for Johanna Militza Camacho is 1679756399.
The current location address for Johanna Militza Camacho is 24276 166 TH ST AIRPORT ROAD Eagle Butte, SD 57625 and the contact number is 7875199355 and fax number is . The mailing address for Johanna Militza Camacho is PO BOX 1910 Eagle Butte, SD 57625- 7875199355 (mailing address contact number - 7875199355).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Johanna Militza Camacho ?


Answer: The NPI Number for Johanna Militza Camacho is 1679756399

Where is Johanna Militza Camacho located?


Answer: Johanna Militza Camacho is located at 24276 166 TH ST AIRPORT ROAD Eagle Butte, SD 57625.

What is the specialty for Johanna Militza Camacho ?


Answer: The Specialty of Johanna Militza Camacho is Definition General Practice Physician.

Are there any online reviews for Johanna Militza Camacho ?


Answer: Not yet!

Are there any other health care providers in Eagle Butte, SD?


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 Johanna Militza Camacho

Number of HCPCS 7
Number of Medicare Beneficiaries 13
Number of Services 18
Total Submitted Charge Amount 1489.18
Total Medicare Allowed Amount 1456.94
Total Medicare Payment Amount 1233.52
Total Medicare Standardized Payment Amount 1240.28
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 69
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84 0
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries 0
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.0332

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 General Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 576
Number of Standardized 30-Day Fills 961.83333333
Aggregate Cost Paid for All Claims 58528.35
Number of Day's Supply for All Claims 26006
Number of Medicare Beneficiaries 147
Number of Claims, Including Refills, for Beneficiaries Age 65+ 474
Including Refills, for Beneficiaries Age 65+ 830.66666667
Beneficiaries Age 65+ 39890.36
Number of Day's Supply for All Claims for Beneficaries Age 65+ 22839
Number of Medicare Beneficiaries Age 65+ 116
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 464
Aggregate Cost Paid for Generic Drugs 7051.35
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 347
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 15108.39
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 229
Aggregate Cost Paid for Claims Filled by 43419.96
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 409
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 53208.1
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 167
by Low-Income Subsidy 5320.25
Total Claims of Opioid Drugs, Including 13
Aggregate Cost Paid for Opioid Drugs 218.3
Opioid Claims 12
Opioid_Tot_Clms divided by the Tot_Clms 2.2569444444
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 64
Aggregate Cost Paid for Antibiotic Drugs 818.31
Antibiotic Claims 51
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 70.585034014
Number of Beneficiaries Age Less Than 65 31
Number of Beneficiaries Age 65 to 74 60
Number of Beneficiaries Age 75 to 84 40
Number of Female Beneficiaries 90
Number of Male Beneficiaries 57
Number of Non-Hispanic White 14
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 106
Number of American Indian/Alaskan NativeBeneficiaries 18
Number of Beneficiaries with Race Not
Only Entitlement 72
Average Hierarchical Condition Category 1.596924229

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