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John S Kelly

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NPI Number Detailed Information

Provider Information:

Name: John S Kelly
Gender: M
Provider License Number If Given: 01024423A

NPI Information:

NPI: 1033104849
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/19/2005

Last Update Date: 2/24/2021

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 2000
Dyer, IN 46311
Phone Number: 2198642107
Fax Number: 2198642649

Provider Business Practice Location Address:

Address: 710 FRANKLIN ST SUITE 200
Michigan City, IN 46360
Phone Number: 2198726200
Fax Number: 2198792915

Provider Taxonomy:

Primary: 207RG0300X
Secondary (if any):
State: IN

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About John S Kelly

John S Kelly ( JOHN S KELLY ) is An Internal Medicine Physician in Michigan City, IN. The NPI Number for John S Kelly is 1033104849.
The current location address for John S Kelly is 710 FRANKLIN ST SUITE 200 Michigan City, IN 46360 and the contact number is 2198642107 and fax number is 2198642649. The mailing address for John S Kelly is PO BOX 2000 Dyer, IN 46311- 2198726200 (mailing address contact number - 2198642107).
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Provider Business Location on Map

FAQs:

What is the NPI Number for John S Kelly ?


Answer: The NPI Number for John S Kelly is 1033104849

Where is John S Kelly located?


Answer: John S Kelly is located at 710 FRANKLIN ST SUITE 200 Michigan City, IN 46360.

What is the specialty for John S Kelly ?


Answer: The Specialty of John S Kelly is An Internal Medicine Physician.

Are there any online reviews for John S Kelly ?


Answer: Yes! Check It Now.

Are there any other health care providers in Michigan City, IN?


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 John S Kelly

Number of HCPCS 15
Number of Medicare Beneficiaries 80
Number of Services 242
Total Submitted Charge Amount 7043.02
Total Medicare Allowed Amount 2899.83
Total Medicare Payment Amount 2626.08
Total Medicare Standardized Payment Amount 2632.2
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 64
Number of Beneficiaries Age Less 65 37
Number of Beneficiaries Age 65 to 74 30
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 46
Number of Male Beneficiaries 34
Number of Non-Hispanic White Beneficiaries 49
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 47
Number of Beneficiaries With Medicare Only Entitlement 33
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0.24
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.19
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.64
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.28
Percent (%) of Beneficiaries Identified With Depression 0.3
Percent (%) of Beneficiaries Identified With Diabetes 0.68
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.74
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.4
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.48
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.625

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 Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 8509
Number of Standardized 30-Day Fills 15434.033333
Aggregate Cost Paid for All Claims 1076951.73
Number of Day's Supply for All Claims 444616
Number of Medicare Beneficiaries 293
Number of Claims, Including Refills, for Beneficiaries Age 65+ 3977
Including Refills, for Beneficiaries Age 65+ 7390.8333333
Beneficiaries Age 65+ 405943.94
Number of Day's Supply for All Claims for Beneficaries Age 65+ 212532
Number of Medicare Beneficiaries Age 65+ 162
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1534
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 6824
Aggregate Cost Paid for Generic Drugs 166386.06
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 151
Aggregate Cost Paid for Other Drugs 12021.83
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 4696
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 543283.33
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 3813
Aggregate Cost Paid for Claims Filled by 533668.4
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 6933
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 970734.48
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1576
by Low-Income Subsidy 106217.25
Total Claims of Opioid Drugs, Including 223
Aggregate Cost Paid for Opioid Drugs 6763.18
Opioid Claims 62
Opioid_Tot_Clms divided by the Tot_Clms 2.6207544952
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 0
Total Claims of Antibiotic Drugs, Including 237
Aggregate Cost Paid for Antibiotic Drugs 2561.94
Antibiotic Claims 98
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 23
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 244.21
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 64.317406143
Number of Beneficiaries Age Less Than 65 131
Number of Beneficiaries Age 65 to 74 122
Number of Beneficiaries Age 75 to 84 28
Number of Female Beneficiaries 160
Number of Male Beneficiaries 133
Number of Non-Hispanic White 190
Number of Black or African American 90
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 88
Average Hierarchical Condition Category 1.8466321803

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