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Michelle E Tomes

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NPI Number Detailed Information

Provider Information:

Name: Michelle E Tomes
Gender: F
Provider License Number If Given: 48226

NPI Information:

NPI: 1265484679
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/16/2006

Last Update Date: 5/6/2020

Reputation Report:

Provider Business Mailing Address:

Address: 8170 33RD AVE S MS21110Q
Minneapolis, MN 55425
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 205 S WABASHA ST MAIL STOP 31300A - HEALTHPARTNERS ST. PAUL CLINIC
St. Paul, MN 55107
Phone Number: 6512938100
Fax Number: 6512938106

Provider Taxonomy:

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

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About Michelle E Tomes

Michelle E Tomes ( MICHELLE E TOMES ) is Family Family Medicine Physician in St. Paul, MN. The NPI Number for Michelle E Tomes is 1265484679.
The current location address for Michelle E Tomes is 205 S WABASHA ST MAIL STOP 31300A - HEALTHPARTNERS ST. PAUL CLINIC St. Paul, MN 55107 and the contact number is and fax number is . The mailing address for Michelle E Tomes is 8170 33RD AVE S MS21110Q Minneapolis, MN 55425- 6512938100 (mailing address contact number - ).
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 Michelle E Tomes ?


Answer: The NPI Number for Michelle E Tomes is 1265484679

Where is Michelle E Tomes located?


Answer: Michelle E Tomes is located at 205 S WABASHA ST MAIL STOP 31300A - HEALTHPARTNERS ST. PAUL CLINIC St. Paul, MN 55107.

What is the specialty for Michelle E Tomes ?


Answer: The Specialty of Michelle E Tomes is Family Family Medicine Physician.

Are there any online reviews for Michelle E Tomes ?


Answer: Yes! Check It Now.

Are there any other health care providers in St. Paul, MN?


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 Michelle E Tomes

Number of HCPCS 57
Number of Medicare Beneficiaries 126
Number of Services 1742
Total Submitted Charge Amount 139177.01
Total Medicare Allowed Amount 53387.17
Total Medicare Payment Amount 41238.32
Total Medicare Standardized Payment Amount 41465.08
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 7
Number of Medicare Beneficiaries With Drug Services 27
Number of Drug Services 1134
Total Drug Submitted Charge Amount 34890
Total Drug Medicare Allowed Amount 14889.66
Total Drug Medicare Payment Amount 12168.25
Total Drug Medicare Standardized Payment Amount 11924.87
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 50
Number of Medicare Beneficiaries With Medical 125
Number of Medical Services 608
Total Medical Submitted Charge Amount 104287.01
Total Medical Medicare Allowed Amount 38497.51
Total Medical Medicare Payment Amount 29070.07
Total Medical Medicare Standardized Payment Amount 29540.21
Average Age of Beneficiaries 65
Number of Beneficiaries Age Less 65 48
Number of Beneficiaries Age 65 to 74 56
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 85
Number of Male Beneficiaries 41
Number of Non-Hispanic White Beneficiaries 81
Number of Black or African American Beneficiaries 24
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 46
Number of Beneficiaries With Medicare Only Entitlement 80
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 0.1
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.19
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.09
Percent (%) of Beneficiaries Identified With Depression 0.32
Percent (%) of Beneficiaries Identified With Diabetes 0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.33
Percent (%) of Beneficiaries Identified With Hypertension 0.58
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.21
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.31
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.13
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.9602

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 3418
Number of Standardized 30-Day Fills 7197.3
Aggregate Cost Paid for All Claims 255655.07
Number of Day's Supply for All Claims 209567
Number of Medicare Beneficiaries 262
Number of Claims, Including Refills, for Beneficiaries Age 65+ 2558
Including Refills, for Beneficiaries Age 65+ 5789
Beneficiaries Age 65+ 164234.33
Number of Day's Supply for All Claims for Beneficaries Age 65+ 169136
Number of Medicare Beneficiaries Age 65+ 213
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 500
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 2862
Aggregate Cost Paid for Generic Drugs 53481.95
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 56
Aggregate Cost Paid for Other Drugs 3514.76
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 2224
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 182587.16
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1194
Aggregate Cost Paid for Claims Filled by 73067.91
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1505
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 138536.53
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1913
by Low-Income Subsidy 117118.54
Total Claims of Opioid Drugs, Including 72
Aggregate Cost Paid for Opioid Drugs 1071.67
Opioid Claims 16
Opioid_Tot_Clms divided by the Tot_Clms 2.1064950263
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 40
Aggregate Cost Paid for Antibiotic Drugs 255.46
Antibiotic Claims 27
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 13
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 272.49
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 69.438931298
Number of Beneficiaries Age Less Than 65 49
Number of Beneficiaries Age 65 to 74 152
Number of Beneficiaries Age 75 to 84 43
Number of Female Beneficiaries 195
Number of Male Beneficiaries 67
Number of Non-Hispanic White 170
Number of Black or African American 48
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 23
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 13
Only Entitlement 191
Average Hierarchical Condition Category 0.9964052172

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