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Mrs. Libby A Costello Gard

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Libby A Costello Gard
Gender: F
Provider License Number If Given: 099007632RN

NPI Information:

NPI: 1326239195
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/7/2007

Last Update Date: 5/10/2021

Provider Business Mailing Address:

Address: 500 W BROADWAY ST
Missoula, MT 59802
Phone Number: 4063271918
Fax Number: 4065492246

Provider Business Practice Location Address:

Address: 1211 S RESERVE ST STE 101
Missoula, MT 59801
Phone Number: 4063273057
Fax Number: 4063273231

Provider Taxonomy:

Primary: 163WP2201X
Secondary (if any): 363LF0000X
State: MT

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About Mrs. Libby A Costello Gard

Mrs. Libby A Costello Gard (MRS. LIBBY A COSTELLO GARD ) is Definition Registered Nurse Physician in Missoula, MT. The NPI Number for Mrs. Libby A Costello Gard is 1326239195.
The current location address for Mrs. Libby A Costello Gard is 1211 S RESERVE ST STE 101 Missoula, MT 59801 and the contact number is 4063271918 and fax number is 4065492246. The mailing address for Mrs. Libby A Costello Gard is 500 W BROADWAY ST Missoula, MT 59802- 4063273057 (mailing address contact number - 4063271918).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mrs. Libby A Costello Gard ?


Answer: The NPI Number for Mrs. Libby A Costello Gard is 1326239195

Where is Mrs. Libby A Costello Gard located?


Answer: Mrs. Libby A Costello Gard is located at 1211 S RESERVE ST STE 101 Missoula, MT 59801.

What is the specialty for Mrs. Libby A Costello Gard ?


Answer: The Specialty of Mrs. Libby A Costello Gard is Definition Registered Nurse Physician.

Are there any online reviews for Mrs. Libby A Costello Gard ?


Answer: Not yet!

Are there any other health care providers in Missoula, MT?


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 Mrs. Libby A Costello Gard

Number of HCPCS 28
Number of Medicare Beneficiaries 184
Number of Services 871
Total Submitted Charge Amount 129171
Total Medicare Allowed Amount 49291.32
Total Medicare Payment Amount 38411.46
Total Medicare Standardized Payment Amount 37839.9
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 6
Number of Medicare Beneficiaries With Drug Services 27
Number of Drug Services 388
Total Drug Submitted Charge Amount 14171
Total Drug Medicare Allowed Amount 9765.54
Total Drug Medicare Payment Amount 8276.3
Total Drug Medicare Standardized Payment Amount 8236.64
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 22
Number of Medicare Beneficiaries With Medical 184
Number of Medical Services 483
Total Medical Submitted Charge Amount 115000
Total Medical Medicare Allowed Amount 39525.78
Total Medical Medicare Payment Amount 30135.16
Total Medical Medicare Standardized Payment Amount 29603.26
Average Age of Beneficiaries 69
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 125
Number of Beneficiaries Age 75 to 84 37
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 172
Number of Male Beneficiaries 12
Number of Non-Hispanic White Beneficiaries 169
Number of Black or African American Beneficiaries 0
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 29
Number of Beneficiaries With Medicare Only Entitlement 155
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.14
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.34
Percent (%) of Beneficiaries Identified With Diabetes 0.11
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.3
Percent (%) of Beneficiaries Identified With Hypertension 0.36
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.08
Percent (%) of Beneficiaries Identified With Osteoporosis 0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.34
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.6673

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 2051
Number of Standardized 30-Day Fills 4483.6333333
Aggregate Cost Paid for All Claims 109611.97
Number of Day's Supply for All Claims 129364
Number of Medicare Beneficiaries 222
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1654
Including Refills, for Beneficiaries Age 65+ 3842.8333333
Beneficiaries Age 65+ 84580.6
Number of Day's Supply for All Claims for Beneficaries Age 65+ 112557
Number of Medicare Beneficiaries Age 65+ 190
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 237
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1775
Aggregate Cost Paid for Generic Drugs 34207.43
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 39
Aggregate Cost Paid for Other Drugs 2357.84
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 792
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 36895.74
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1259
Aggregate Cost Paid for Claims Filled by 72716.23
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 659
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 44841.82
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1392
by Low-Income Subsidy 64770.15
Total Claims of Opioid Drugs, Including 67
Aggregate Cost Paid for Opioid Drugs 525.27
Opioid Claims 12
Opioid_Tot_Clms divided by the Tot_Clms 3.2666991711
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 30
Aggregate Cost Paid for Antibiotic Drugs 277.62
Antibiotic Claims 17
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 68.292792793
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 144
Number of Beneficiaries Age 75 to 84 40
Number of Female Beneficiaries 200
Number of Male Beneficiaries 22
Number of Non-Hispanic White 208
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 175
Average Hierarchical Condition Category 0.8076136101

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Mrs. Libby A Costello Gard in Other Directories

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