Mallory Sullivan

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NPI Number Detailed Information

Provider Information:

Name:	Mallory Sullivan
Gender:	F
Provider License Number If Given:	274601

NPI Information:

NPI:	1124311360
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/20/2011
Last Update Date:	3/20/2017
Reputation Report:

Provider Business Mailing Address:

Address:	117 W MAIN ST SUITE 1 Waterville, NY 13480
Phone Number:	3158414178
Fax Number:	3158414338

Provider Business Practice Location Address:

Address:	117 W MAIN ST SUITE 1 Waterville, NY 13480
Phone Number:	3158414178
Fax Number:	3158414338

Provider Taxonomy:

Primary:	207Q00000X
Secondary (if any):
State:	NY

Top Doctors in NY

About Mallory Sullivan

Mallory Sullivan ( MALLORY SULLIVAN ) is Family Family Medicine Physician in Waterville, NY. The NPI Number for Mallory Sullivan is 1124311360.

The current location address for Mallory Sullivan is 117 W MAIN ST SUITE 1 Waterville, NY 13480 and the contact number is 3158414178 and fax number is 3158414338. The mailing address for Mallory Sullivan is 117 W MAIN ST SUITE 1 Waterville, NY 13480- 3158414178 (mailing address contact number - 3158414178).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mallory Sullivan ?

Answer: The NPI Number for Mallory Sullivan is 1124311360

Where is Mallory Sullivan located?

Answer: Mallory Sullivan is located at 117 W MAIN ST SUITE 1 Waterville, NY 13480.

What is the specialty for Mallory Sullivan ?

Answer: The Specialty of Mallory Sullivan is Family Family Medicine Physician.

Are there any online reviews for Mallory Sullivan ?

Answer: Yes! Check It Now.

Are there any other health care providers in Waterville, 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 Mallory Sullivan

Number of HCPCS	24
Number of Medicare Beneficiaries	196
Number of Services	578
Total Submitted Charge Amount	71278.4
Total Medicare Allowed Amount	40334.08
Total Medicare Payment Amount	28454.26
Total Medicare Standardized Payment Amount	29166.59
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	24
Number of Medicare Beneficiaries With Medical	196
Number of Medical Services	578
Total Medical Submitted Charge Amount	71278.4
Total Medical Medicare Allowed Amount	40334.08
Total Medical Medicare Payment Amount	28454.26
Total Medical Medicare Standardized Payment Amount	29166.59
Average Age of Beneficiaries	74
Number of Beneficiaries Age Less 65	15
Number of Beneficiaries Age 65 to 74	86
Number of Beneficiaries Age 75 to 84	69
Number of Beneficiaries Age Greater 84	26
Number of Female Beneficiaries	121
Number of Male Beneficiaries	75
Number of Non-Hispanic White Beneficiaries
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	27
Number of Beneficiaries With Medicare Only Entitlement	169
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.13
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.09
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer	0.1
Percent (%) of Beneficiaries Identified With Heart Failure	0.14
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.16
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.1
Percent (%) of Beneficiaries Identified With Depression	0.11
Percent (%) of Beneficiaries Identified With Diabetes	0.23
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.54
Percent (%) of Beneficiaries Identified With Hypertension	0.7
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.24
Percent (%) of Beneficiaries Identified With Osteoporosis	0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.27
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.8695

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	Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	6222
Number of Standardized 30-Day Fills	14275.433333
Aggregate Cost Paid for All Claims	446191.89
Number of Day's Supply for All Claims	417593
Number of Medicare Beneficiaries	529
Number of Claims, Including Refills, for Beneficiaries Age 65+	5463
Including Refills, for Beneficiaries Age 65+	12901.1
Beneficiaries Age 65+	408578.46
Number of Day's Supply for All Claims for Beneficaries Age 65+	377911
Number of Medicare Beneficiaries Age 65+	471
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	670
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	5538
Aggregate Cost Paid for Generic Drugs	154772.93
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	14
Aggregate Cost Paid for Other Drugs	801.52
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	4179
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	307298.1
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	2043
Aggregate Cost Paid for Claims Filled by	138893.79
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1227
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	114968.78
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	4995
by Low-Income Subsidy	331223.11
Total Claims of Opioid Drugs, Including	182
Aggregate Cost Paid for Opioid Drugs	6607.12
Opioid Claims	53
Opioid_Tot_Clms divided by the Tot_Clms	2.925104468
Total Claims of Long-Acting Opioid Drugs	71
Aggregate Cost Paid for Long-Acting Opioid	3678.88
Number of Day's Supply of All Long-Acting	2034
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the	39.010989011
Total Claims of Antibiotic Drugs, Including	146
Aggregate Cost Paid for Antibiotic Drugs	2418.48
Antibiotic Claims	88
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	12
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	663.55
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	73.905482042
Number of Beneficiaries Age Less Than 65	58
Number of Beneficiaries Age 65 to 74	208
Number of Beneficiaries Age 75 to 84	196
Number of Female Beneficiaries	324
Number of Male Beneficiaries	205
Number of Non-Hispanic White	509
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	13
Only Entitlement	442
Average Hierarchical Condition Category	0.9100835666

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