Mack Lee Sullivan

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NPI Number Detailed Information

Provider Information:

Name:	Mack Lee Sullivan
Gender:	M
Provider License Number If Given:	203477-1

NPI Information:

NPI:	1881616068
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/24/2006
Last Update Date:	8/24/2015
Reputation Report:

Provider Business Mailing Address:

Address:	369 WHITE PLAINS RD Eastchester, NY 10709
Phone Number:	9143953691
Fax Number:	9143953693

Provider Business Practice Location Address:

Address:	150 LAKE AVE Tuckahoe, NY 10707
Phone Number:	9143953691
Fax Number:	9143953693

Provider Taxonomy:

Primary:	207P00000X
Secondary (if any):	208100000X
State:	NY

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About Mack Lee Sullivan

Mack Lee Sullivan ( MACK LEE SULLIVAN ) is An Emergency Medicine Physician in Tuckahoe, NY. The NPI Number for Mack Lee Sullivan is 1881616068.

The current location address for Mack Lee Sullivan is 150 LAKE AVE Tuckahoe, NY 10707 and the contact number is 9143953691 and fax number is 9143953693. The mailing address for Mack Lee Sullivan is 369 WHITE PLAINS RD Eastchester, NY 10709- 9143953691 (mailing address contact number - 9143953691).

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mack Lee Sullivan ?

Answer: The NPI Number for Mack Lee Sullivan is 1881616068

Where is Mack Lee Sullivan located?

Answer: Mack Lee Sullivan is located at 150 LAKE AVE Tuckahoe, NY 10707.

What is the specialty for Mack Lee Sullivan ?

Answer: The Specialty of Mack Lee Sullivan is An Emergency Medicine Physician.

Are there any online reviews for Mack Lee Sullivan ?

Answer: Yes! Check It Now.

Are there any other health care providers in Tuckahoe, NY?

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 Mack Lee Sullivan

Number of HCPCS	134
Number of Medicare Beneficiaries	665
Number of Services	6880
Total Submitted Charge Amount	619732.56
Total Medicare Allowed Amount	389958.87
Total Medicare Payment Amount	321737.99
Total Medicare Standardized Payment Amount	275634.87
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	14
Number of Medicare Beneficiaries With Drug Services	147
Number of Drug Services	1010
Total Drug Submitted Charge Amount	17018.23
Total Drug Medicare Allowed Amount	1379.56
Total Drug Medicare Payment Amount	1287.54
Total Drug Medicare Standardized Payment Amount	1262.21
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	120
Number of Medicare Beneficiaries With Medical	665
Number of Medical Services	5870
Total Medical Submitted Charge Amount	602714.33
Total Medical Medicare Allowed Amount	388579.31
Total Medical Medicare Payment Amount	320450.45
Total Medical Medicare Standardized Payment Amount	274372.66
Average Age of Beneficiaries	74
Number of Beneficiaries Age Less 65	70
Number of Beneficiaries Age 65 to 74	283
Number of Beneficiaries Age 75 to 84	227
Number of Beneficiaries Age Greater 84	85
Number of Female Beneficiaries	370
Number of Male Beneficiaries	295
Number of Non-Hispanic White Beneficiaries	582
Number of Black or African American Beneficiaries	26
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	31
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	51
Number of Beneficiaries With Medicare Only Entitlement	614
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.08
Percent (%) of Beneficiaries Identified With Asthma	0.03
Percent (%) of Beneficiaries Identified With Cancer	0.11
Percent (%) of Beneficiaries Identified With Heart Failure	0.1
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.2
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.08
Percent (%) of Beneficiaries Identified With Depression	0.11
Percent (%) of Beneficiaries Identified With Diabetes	0.24
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.52
Percent (%) of Beneficiaries Identified With Hypertension	0.55
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.31
Percent (%) of Beneficiaries Identified With Osteoporosis	0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.37
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.02
Percent (%) of Beneficiaries Identified With Stroke	0.03
Average HCC Risk Score of Beneficiaries	0.8801

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	Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	2011
Number of Standardized 30-Day Fills	3373.0333333
Aggregate Cost Paid for All Claims	120605
Number of Day's Supply for All Claims	82878
Number of Medicare Beneficiaries	330
Number of Claims, Including Refills, for Beneficiaries Age 65+	1826
Including Refills, for Beneficiaries Age 65+	3069.0333333
Beneficiaries Age 65+	109537.38
Number of Day's Supply for All Claims for Beneficaries Age 65+	75628
Number of Medicare Beneficiaries Age 65+	300
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	189
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	1809
Aggregate Cost Paid for Generic Drugs	32350.43
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	13
Aggregate Cost Paid for Other Drugs	1287.24
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	599
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	24740.37
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	1412
Aggregate Cost Paid for Claims Filled by	95864.63
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	311
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	17810.7
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	1700
by Low-Income Subsidy	102794.3
Total Claims of Opioid Drugs, Including	62
Aggregate Cost Paid for Opioid Drugs	604.96
Opioid Claims	26
Opioid_Tot_Clms divided by the Tot_Clms	3.0830432621
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	347
Aggregate Cost Paid for Antibiotic Drugs	4611.41
Antibiotic Claims	181
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	74.803030303
Number of Beneficiaries Age Less Than 65	30
Number of Beneficiaries Age 65 to 74	149
Number of Beneficiaries Age 75 to 84	92
Number of Female Beneficiaries	200
Number of Male Beneficiaries	130
Number of Non-Hispanic White	289
Number of Black or African American	14
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	15
Only Entitlement	299
Average Hierarchical Condition Category	0.9276436061

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