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Kyle Justin Dubose

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NPI Number Detailed Information

Provider Information:

Name: Kyle Justin Dubose
Gender: M
Provider License Number If Given: 67393

NPI Information:

NPI: 1285093104
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 2/20/2016

Last Update Date: 7/21/2022

Provider Business Mailing Address:

Address: 2901 W KINNICKINNIC RIVER PKWY STE 309
Milwaukee, WI 53215
Phone Number: 4146491292
Fax Number:

Provider Business Practice Location Address:

Address: 10400 75TH ST
Kenosha, WI 53142
Phone Number: 2629425600
Fax Number: 2629487388

Provider Taxonomy:

Primary: 2083P0011X
Secondary (if any):
State: WI

Top Doctors in WI

 

About Kyle Justin Dubose

Kyle Justin Dubose ( KYLE JUSTIN DUBOSE ) is A Preventive Medicine Physician in Kenosha, WI. The NPI Number for Kyle Justin Dubose is 1285093104.
The current location address for Kyle Justin Dubose is 10400 75TH ST Kenosha, WI 53142 and the contact number is 4146491292 and fax number is . The mailing address for Kyle Justin Dubose is 2901 W KINNICKINNIC RIVER PKWY STE 309 Milwaukee, WI 53215- 2629425600 (mailing address contact number - 4146491292).
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Provider Business Location on Map

FAQs:

What is the NPI Number for Kyle Justin Dubose ?


Answer: The NPI Number for Kyle Justin Dubose is 1285093104

Where is Kyle Justin Dubose located?


Answer: Kyle Justin Dubose is located at 10400 75TH ST Kenosha, WI 53142.

What is the specialty for Kyle Justin Dubose ?


Answer: The Specialty of Kyle Justin Dubose is A Preventive Medicine Physician.

Are there any online reviews for Kyle Justin Dubose ?


Answer: Not yet!

Are there any other health care providers in Kenosha, WI?


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 Kyle Justin Dubose

Number of HCPCS 20
Number of Medicare Beneficiaries 189
Number of Services 1144
Total Submitted Charge Amount 641639
Total Medicare Allowed Amount 69162.01
Total Medicare Payment Amount 53657.76
Total Medicare Standardized Payment Amount 56917.14
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 20
Number of Medicare Beneficiaries With Medical 189
Number of Medical Services 1144
Total Medical Submitted Charge Amount 641639
Total Medical Medicare Allowed Amount 69162.01
Total Medical Medicare Payment Amount 53657.76
Total Medical Medicare Standardized Payment Amount 56917.14
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 45
Number of Beneficiaries Age 65 to 74 57
Number of Beneficiaries Age 75 to 84 53
Number of Beneficiaries Age Greater 84 34
Number of Female Beneficiaries 84
Number of Male Beneficiaries 105
Number of Non-Hispanic White Beneficiaries 165
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 59
Number of Beneficiaries With Medicare Only Entitlement 130
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.25
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.22
Percent (%) of Beneficiaries Identified With Asthma 0.18
Percent (%) of Beneficiaries Identified With Cancer 0.16
Percent (%) of Beneficiaries Identified With Heart Failure 0.43
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.61
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.25
Percent (%) of Beneficiaries Identified With Depression 0.39
Percent (%) of Beneficiaries Identified With Diabetes 0.54
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.73
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.49
Percent (%) of Beneficiaries Identified With Osteoporosis 0.15
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.63
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.07
Average HCC Risk Score of Beneficiaries 2.9684

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 Undersea and Hyperbaric Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 138
Number of Standardized 30-Day Fills 140
Aggregate Cost Paid for All Claims 6531.77
Number of Day's Supply for All Claims 2224
Number of Medicare Beneficiaries 48
Number of Claims, Including Refills, for Beneficiaries Age 65+ 85
Including Refills, for Beneficiaries Age 65+ 87
Beneficiaries Age 65+ 5460.85
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1313
Number of Medicare Beneficiaries Age 65+ 35
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 32
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 106
Aggregate Cost Paid for Generic Drugs 3031.36
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 65
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1607.74
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 73
Aggregate Cost Paid for Claims Filled by 4924.03
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 70
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 2435.14
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 68
by Low-Income Subsidy 4096.63
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 51
Aggregate Cost Paid for Antibiotic Drugs 701.46
Antibiotic Claims 38
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 68.25
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 15
Number of Beneficiaries Age 75 to 84 15
Number of Female Beneficiaries 23
Number of Male Beneficiaries 25
Number of Non-Hispanic White 38
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement 32
Average Hierarchical Condition Category 3.2887047867

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