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Latha Jacob

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NPI Number Detailed Information

Provider Information:

Name: Latha Jacob
Gender: F
Provider License Number If Given: 739362

NPI Information:

NPI: 1376826503
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/23/2011

Last Update Date: 4/17/2013

Provider Business Mailing Address:

Address: 14131 MIDWAY ROAD SUITE 620
Addison, TX 75001
Phone Number: 9722490200
Fax Number: 9722490206

Provider Business Practice Location Address:

Address: 14131 MIDWAY ROAD SUITE 620
Addison, TX 75001
Phone Number: 9722490200
Fax Number: 9722490206

Provider Taxonomy:

Primary: 363L00000X
Secondary (if any): 163WR0400X
State: TX

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About Latha Jacob

Latha Jacob ( LATHA JACOB ) is (1) Nurse Practitioner Physician in Addison, TX. The NPI Number for Latha Jacob is 1376826503.
The current location address for Latha Jacob is 14131 MIDWAY ROAD SUITE 620 Addison, TX 75001 and the contact number is 9722490200 and fax number is 9722490206. The mailing address for Latha Jacob is 14131 MIDWAY ROAD SUITE 620 Addison, TX 75001- 9722490200 (mailing address contact number - 9722490200).
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Provider Business Location on Map

FAQs:

What is the NPI Number for Latha Jacob ?


Answer: The NPI Number for Latha Jacob is 1376826503

Where is Latha Jacob located?


Answer: Latha Jacob is located at 14131 MIDWAY ROAD SUITE 620 Addison, TX 75001.

What is the specialty for Latha Jacob ?


Answer: The Specialty of Latha Jacob is (1) Nurse Practitioner Physician.

Are there any online reviews for Latha Jacob ?


Answer: Not yet!

Are there any other health care providers in Addison, TX?


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 Latha Jacob

Number of HCPCS 13
Number of Medicare Beneficiaries 304
Number of Services 2068
Total Submitted Charge Amount 636313
Total Medicare Allowed Amount 167230.98
Total Medicare Payment Amount 127881.61
Total Medicare Standardized Payment Amount 128298.17
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 13
Number of Medicare Beneficiaries With Medical 304
Number of Medical Services 2068
Total Medical Submitted Charge Amount 636313
Total Medical Medicare Allowed Amount 167230.98
Total Medical Medicare Payment Amount 127881.61
Total Medical Medicare Standardized Payment Amount 128298.17
Average Age of Beneficiaries 80
Number of Beneficiaries Age Less 65 23
Number of Beneficiaries Age 65 to 74 58
Number of Beneficiaries Age 75 to 84 106
Number of Beneficiaries Age Greater 84 117
Number of Female Beneficiaries 204
Number of Male Beneficiaries 100
Number of Non-Hispanic White Beneficiaries 233
Number of Black or African American Beneficiaries 39
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 16
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 169
Number of Beneficiaries With Medicare Only Entitlement 135
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.14
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.75
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.58
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.59
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.23
Percent (%) of Beneficiaries Identified With Depression 0.65
Percent (%) of Beneficiaries Identified With Diabetes 0.46
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.63
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.44
Percent (%) of Beneficiaries Identified With Osteoporosis 0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.46
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.18
Percent (%) of Beneficiaries Identified With Stroke 0.2
Average HCC Risk Score of Beneficiaries 2.3188

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 Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1799
Number of Standardized 30-Day Fills 1842.5333333
Aggregate Cost Paid for All Claims 90554.47
Number of Day's Supply for All Claims 49158
Number of Medicare Beneficiaries 73
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1786
Including Refills, for Beneficiaries Age 65+ 1829.5333333
Beneficiaries Age 65+ 90331
Number of Day's Supply for All Claims for Beneficaries Age 65+ 48913
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 198
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1589
Aggregate Cost Paid for Generic Drugs 38118.64
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 12
Aggregate Cost Paid for Other Drugs 89.86
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 418
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 15553.76
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1381
Aggregate Cost Paid for Claims Filled by 75000.71
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 90
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 6887.13
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1709
by Low-Income Subsidy 83667.34
Total Claims of Opioid Drugs, Including 23
Aggregate Cost Paid for Opioid Drugs 418.73
Opioid Claims 11
Opioid_Tot_Clms divided by the Tot_Clms 1.2784880489
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 14
Aggregate Cost Paid for Antibiotic Drugs 1794.02
Antibiotic Claims 11
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 22
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 2681.7
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 80.657534247
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 52
Number of Male Beneficiaries 21
Number of Non-Hispanic White 59
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 50
Average Hierarchical Condition Category 2.2313733686

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