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Jon Mallen-St. Clair

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NPI Number Detailed Information

Provider Information:

Name: Jon Mallen-St. Clair
Gender: M
Provider License Number If Given:

NPI Information:

NPI: 1134410038
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/26/2011

Last Update Date: 1/21/2021

Reputation Report:

Provider Business Mailing Address:

Address: 8635 W 3RD ST STE 590W
Los Angeles, CA 90048
Phone Number: 3104231220
Fax Number: 3104231220

Provider Business Practice Location Address:

Address: 8635 W 3RD ST STE 590W
Los Angeles, CA 90048
Phone Number: 3104231220
Fax Number: 3104231230

Provider Taxonomy:

Primary: 390200000X
Secondary (if any): 207YX0007X
State: CA

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About Jon Mallen-St. Clair

Jon Mallen-St. Clair ( JON MALLEN-ST. CLAIR ) is An Student in an Organized Health Care Education/Training Program Physician in Los Angeles, CA. The NPI Number for Jon Mallen-St. Clair is 1134410038.
The current location address for Jon Mallen-St. Clair is 8635 W 3RD ST STE 590W Los Angeles, CA 90048 and the contact number is 3104231220 and fax number is 3104231220. The mailing address for Jon Mallen-St. Clair is 8635 W 3RD ST STE 590W Los Angeles, CA 90048- 3104231220 (mailing address contact number - 3104231220).
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.

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FAQs:

What is the NPI Number for Jon Mallen-St. Clair ?


Answer: The NPI Number for Jon Mallen-St. Clair is 1134410038

Where is Jon Mallen-St. Clair located?


Answer: Jon Mallen-St. Clair is located at 8635 W 3RD ST STE 590W Los Angeles, CA 90048.

What is the specialty for Jon Mallen-St. Clair ?


Answer: The Specialty of Jon Mallen-St. Clair is An Student in an Organized Health Care Education/Training Program Physician.

Are there any online reviews for Jon Mallen-St. Clair ?


Answer: Yes! Check It Now.

Are there any other health care providers in Los Angeles, 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 Jon Mallen-St. Clair

Number of HCPCS 111
Number of Medicare Beneficiaries 208
Number of Services 529
Total Submitted Charge Amount 587195.35
Total Medicare Allowed Amount 150223.2
Total Medicare Payment Amount 118305.15
Total Medicare Standardized Payment Amount 103997.97
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 111
Number of Medicare Beneficiaries With Medical 208
Number of Medical Services 529
Total Medical Submitted Charge Amount 587195.35
Total Medical Medicare Allowed Amount 150223.2
Total Medical Medicare Payment Amount 118305.15
Total Medical Medicare Standardized Payment Amount 103997.97
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 17
Number of Beneficiaries Age 65 to 74 87
Number of Beneficiaries Age 75 to 84 81
Number of Beneficiaries Age Greater 84 23
Number of Female Beneficiaries 88
Number of Male Beneficiaries 120
Number of Non-Hispanic White Beneficiaries 148
Number of Black or African American Beneficiaries 19
Number of Asian Pacific Islander Beneficiaries 14
Number of Hispanic Beneficiaries 14
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 13
Number of Beneficiaries With Medicare & Medicaid Entitlement 56
Number of Beneficiaries With Medicare Only Entitlement 152
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.16
Percent (%) of Beneficiaries Identified With Asthma 0.11
Percent (%) of Beneficiaries Identified With Cancer 0.22
Percent (%) of Beneficiaries Identified With Heart Failure 0.33
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.43
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.19
Percent (%) of Beneficiaries Identified With Depression 0.27
Percent (%) of Beneficiaries Identified With Diabetes 0.34
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.68
Percent (%) of Beneficiaries Identified With Hypertension 0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.59
Percent (%) of Beneficiaries Identified With Osteoporosis 0.15
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.5
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.09
Average HCC Risk Score of Beneficiaries 2.4302

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 Otolaryngology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 41
Number of Standardized 30-Day Fills 45
Aggregate Cost Paid for All Claims 664.94
Number of Day's Supply for All Claims 742
Number of Medicare Beneficiaries 32
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 41
Aggregate Cost Paid for Generic Drugs 664.94
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 14
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 133.09
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 27
Aggregate Cost Paid for Claims Filled by 531.85
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 13
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 226.18
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 28
by Low-Income Subsidy 438.76
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
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
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 73.71875
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 14
Number of Male Beneficiaries 18
Number of Non-Hispanic White 26
Number of Black or African American
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
Average Hierarchical Condition Category 2.2185147332

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