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Michael M Boustany

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NPI Number Detailed Information

Provider Information:

Name: Michael M Boustany
Gender: M
Provider License Number If Given: 10600

NPI Information:

NPI: 1619973096
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/22/2005

Last Update Date: 12/22/2021

Reputation Report:

Provider Business Mailing Address:

Address: 4605 MACCORKLE AVE SW
South Charleston, WV 25309
Phone Number: 3044144800
Fax Number: 3044144801

Provider Business Practice Location Address:

Address: 434 DIVISION ST
South Charleston, WV 25309
Phone Number: 3047667140
Fax Number: 3047667180

Provider Taxonomy:

Primary: 2086S0129X
Secondary (if any): 208600000X
State: WV

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About Michael M Boustany

Michael M Boustany ( MICHAEL M BOUSTANY ) is A Surgery Physician in South Charleston, WV. The NPI Number for Michael M Boustany is 1619973096.
The current location address for Michael M Boustany is 434 DIVISION ST South Charleston, WV 25309 and the contact number is 3044144800 and fax number is 3044144801. The mailing address for Michael M Boustany is 4605 MACCORKLE AVE SW South Charleston, WV 25309- 3047667140 (mailing address contact number - 3044144800).
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider Business Location on Map

FAQs:

What is the NPI Number for Michael M Boustany ?


Answer: The NPI Number for Michael M Boustany is 1619973096

Where is Michael M Boustany located?


Answer: Michael M Boustany is located at 434 DIVISION ST South Charleston, WV 25309.

What is the specialty for Michael M Boustany ?


Answer: The Specialty of Michael M Boustany is A Surgery Physician.

Are there any online reviews for Michael M Boustany ?


Answer: Yes! Check It Now.

Are there any other health care providers in South Charleston, WV?


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 Michael M Boustany

Number of HCPCS 81
Number of Medicare Beneficiaries 637
Number of Services 1039
Total Submitted Charge Amount 427466.28
Total Medicare Allowed Amount 92744.68
Total Medicare Payment Amount 71936.87
Total Medicare Standardized Payment Amount 72253.85
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 81
Number of Medicare Beneficiaries With Medical 637
Number of Medical Services 1039
Total Medical Submitted Charge Amount 427466.28
Total Medical Medicare Allowed Amount 92744.68
Total Medical Medicare Payment Amount 71936.87
Total Medical Medicare Standardized Payment Amount 72253.85
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 107
Number of Beneficiaries Age 65 to 74 267
Number of Beneficiaries Age 75 to 84 195
Number of Beneficiaries Age Greater 84 68
Number of Female Beneficiaries 411
Number of Male Beneficiaries 226
Number of Non-Hispanic White Beneficiaries 596
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 149
Number of Beneficiaries With Medicare Only Entitlement 488
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.19
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.16
Percent (%) of Beneficiaries Identified With Asthma 0.11
Percent (%) of Beneficiaries Identified With Cancer 0.14
Percent (%) of Beneficiaries Identified With Heart Failure 0.28
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.54
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.27
Percent (%) of Beneficiaries Identified With Depression 0.41
Percent (%) of Beneficiaries Identified With Diabetes 0.46
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.55
Percent (%) of Beneficiaries Identified With Osteoporosis 0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.68
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.03
Percent (%) of Beneficiaries Identified With Stroke 0.1
Average HCC Risk Score of Beneficiaries 1.5903

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 General Surgery
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 239
Number of Standardized 30-Day Fills 322.66666667
Aggregate Cost Paid for All Claims 6351.78
Number of Day's Supply for All Claims 7231
Number of Medicare Beneficiaries 105
Number of Claims, Including Refills, for Beneficiaries Age 65+ 183
Including Refills, for Beneficiaries Age 65+ 255.66666667
Beneficiaries Age 65+ 5037.98
Number of Day's Supply for All Claims for Beneficaries Age 65+ 5898
Number of Medicare Beneficiaries Age 65+ 82
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 88
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 151
Aggregate Cost Paid for Generic Drugs 1908.35
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 135
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 3528.94
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 104
Aggregate Cost Paid for Claims Filled by 2822.84
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 85
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 2582.01
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 154
by Low-Income Subsidy 3769.77
Total Claims of Opioid Drugs, Including 61
Aggregate Cost Paid for Opioid Drugs 429.54
Opioid Claims 60
Opioid_Tot_Clms divided by the Tot_Clms 25.523012552
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 34
Aggregate Cost Paid for Antibiotic Drugs 454.07
Antibiotic Claims 24
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 68.552380952
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 54
Number of Beneficiaries Age 75 to 84 26
Number of Female Beneficiaries 72
Number of Male Beneficiaries 33
Number of Non-Hispanic White 92
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
Only Entitlement 80
Average Hierarchical Condition Category 1.0771396825

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