John George Wallace JR.

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NPI Number Detailed Information

Provider Information:

Name:	John George Wallace JR.
Gender:	M
Provider License Number If Given:	G45690

NPI Information:

NPI:	1164467320
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/19/2006
Last Update Date:	9/19/2012
Reputation Report:

Provider Business Mailing Address:

Address:	4401 W MEMORIAL RD SUITE 121 Oklahoma City, OK 73134
Phone Number:	4057514664
Fax Number:	4057513183

Provider Business Practice Location Address:

Address:	4101 TORRANCE BLVD EM DEPT Torrance, CA 90503
Phone Number:	3105407676
Fax Number:	4057513183

Provider Taxonomy:

Primary:	207PE0004X
Secondary (if any):
State:	CA

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About John George Wallace JR.

John George Wallace JR.( JOHN GEORGE WALLACE JR.) is An Emergency Medicine Physician in Torrance, CA. The NPI Number for John George Wallace JR. is 1164467320.

The current location address for John George Wallace JR. is 4101 TORRANCE BLVD EM DEPT Torrance, CA 90503 and the contact number is 4057514664 and fax number is 4057513183. The mailing address for John George Wallace JR. is 4401 W MEMORIAL RD SUITE 121 Oklahoma City, OK 73134- 3105407676 (mailing address contact number - 4057514664).

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Provider Business Location on Map

FAQs:

What is the NPI Number for John George Wallace JR.?

Answer: The NPI Number for John George Wallace JR. is 1164467320

Where is John George Wallace JR. located?

Answer: John George Wallace JR. is located at 4101 TORRANCE BLVD EM DEPT Torrance, CA 90503.

What is the specialty for John George Wallace JR.?

Answer: The Specialty of John George Wallace JR. is An Emergency Medicine Physician.

Are there any online reviews for John George Wallace JR.?

Answer: Yes! Check It Now.

Are there any other health care providers in Torrance, CA?

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 George Wallace JR.

Number of HCPCS	14
Number of Medicare Beneficiaries	57
Number of Services	76
Total Submitted Charge Amount	43392
Total Medicare Allowed Amount	10440.22
Total Medicare Payment Amount	8024.96
Total Medicare Standardized Payment Amount	7387.47
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	14
Number of Medicare Beneficiaries With Medical	57
Number of Medical Services	76
Total Medical Submitted Charge Amount	43392
Total Medical Medicare Allowed Amount	10440.22
Total Medical Medicare Payment Amount	8024.96
Total Medical Medicare Standardized Payment Amount	7387.47
Average Age of Beneficiaries	70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	25
Number of Beneficiaries Age 75 to 84	17
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	34
Number of Male Beneficiaries	23
Number of Non-Hispanic White Beneficiaries	25
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	12
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	30
Number of Beneficiaries With Medicare Only Entitlement	27
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.19
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure	0.26
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.53
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.19
Percent (%) of Beneficiaries Identified With Depression	0.21
Percent (%) of Beneficiaries Identified With Diabetes	0.44
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.65
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.46
Percent (%) of Beneficiaries Identified With Osteoporosis
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
Average HCC Risk Score of Beneficiaries	2.398

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	Emergency Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	87
Number of Standardized 30-Day Fills	89
Aggregate Cost Paid for All Claims	460.22
Number of Day's Supply for All Claims	605
Number of Medicare Beneficiaries	43
Number of Claims, Including Refills, for Beneficiaries Age 65+	70
Including Refills, for Beneficiaries Age 65+	72
Beneficiaries Age 65+	378.28
Number of Day's Supply for All Claims for Beneficaries Age 65+	507
Number of Medicare Beneficiaries Age 65+
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	84
Aggregate Cost Paid for Generic Drugs	412.78
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	52
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	260.5
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	35
Aggregate Cost Paid for Claims Filled by	199.72
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	51
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	243.66
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	36
by Low-Income Subsidy	216.56
Total Claims of Opioid Drugs, Including	17
Aggregate Cost Paid for Opioid Drugs	42.47
Opioid Claims	17
Opioid_Tot_Clms divided by the Tot_Clms	19.540229885
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	20
Aggregate Cost Paid for Antibiotic Drugs	170.17
Antibiotic Claims	19
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
Average Age of Beneficiaries	69.720930233
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	32
Number of Male Beneficiaries	11
Number of Non-Hispanic White
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	26
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	0
Only Entitlement	22
Average Hierarchical Condition Category	1.7038064502

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