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Dr. Mitchell Robert Goldstein

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NPI Number Detailed Information

Provider Information:

Name: Dr. Mitchell Robert Goldstein
Gender: M
Provider License Number If Given: 1041575

NPI Information:

NPI: 1659335636
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/14/2006

Last Update Date: 11/25/2020

Reputation Report:

Provider Business Mailing Address:

Address: 107 N EDDY ST
South Bend, IN 46617
Phone Number: 5742461036
Fax Number: 5742461634

Provider Business Practice Location Address:

Address: 107 N EDDY ST
South Bend, IN 46617
Phone Number: 5742461036
Fax Number: 5742461634

Provider Taxonomy:

Primary: 2084P0804X
Secondary (if any): 2084P0800X
State: IN

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About Dr. Mitchell Robert Goldstein

Dr. Mitchell Robert Goldstein (DR. MITCHELL ROBERT GOLDSTEIN ) is Child Psychiatry & Neurology Physician in South Bend, IN. The NPI Number for Dr. Mitchell Robert Goldstein is 1659335636.
The current location address for Dr. Mitchell Robert Goldstein is 107 N EDDY ST South Bend, IN 46617 and the contact number is 5742461036 and fax number is 5742461634. The mailing address for Dr. Mitchell Robert Goldstein is 107 N EDDY ST South Bend, IN 46617- 5742461036 (mailing address contact number - 5742461036).
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Mitchell Robert Goldstein ?


Answer: The NPI Number for Dr. Mitchell Robert Goldstein is 1659335636

Where is Dr. Mitchell Robert Goldstein located?


Answer: Dr. Mitchell Robert Goldstein is located at 107 N EDDY ST South Bend, IN 46617.

What is the specialty for Dr. Mitchell Robert Goldstein ?


Answer: The Specialty of Dr. Mitchell Robert Goldstein is Child Psychiatry & Neurology Physician.

Are there any online reviews for Dr. Mitchell Robert Goldstein ?


Answer: Yes! Check It Now.

Are there any other health care providers in South Bend, IN?


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 Dr. Mitchell Robert Goldstein

Number of HCPCS 14
Number of Medicare Beneficiaries 139
Number of Services 454
Total Submitted Charge Amount 45924
Total Medicare Allowed Amount 35039.7
Total Medicare Payment Amount 23290.21
Total Medicare Standardized Payment Amount 30372.36
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 14
Number of Medicare Beneficiaries With Medical 139
Number of Medical Services 454
Total Medical Submitted Charge Amount 45924
Total Medical Medicare Allowed Amount 35039.7
Total Medical Medicare Payment Amount 23290.21
Total Medical Medicare Standardized Payment Amount 30372.36
Average Age of Beneficiaries 54
Number of Beneficiaries Age Less 65 96
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 88
Number of Male Beneficiaries 51
Number of Non-Hispanic White Beneficiaries 122
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 92
Number of Beneficiaries With Medicare Only Entitlement 47
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.15
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.09
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.17
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.16
Percent (%) of Beneficiaries Identified With Depression 0.67
Percent (%) of Beneficiaries Identified With Diabetes 0.22
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.36
Percent (%) of Beneficiaries Identified With Hypertension 0.47
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.15
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.31
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.35
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.1519

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 Psychiatry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 4646
Number of Standardized 30-Day Fills 5810.9
Aggregate Cost Paid for All Claims 618235.14
Number of Day's Supply for All Claims 170255
Number of Medicare Beneficiaries 197
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1371
Including Refills, for Beneficiaries Age 65+ 1882.4666667
Beneficiaries Age 65+ 82061.88
Number of Day's Supply for All Claims for Beneficaries Age 65+ 55296
Number of Medicare Beneficiaries Age 65+ 74
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 401
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 4245
Aggregate Cost Paid for Generic Drugs 184968.37
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 1819
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 179859.79
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2827
Aggregate Cost Paid for Claims Filled by 438375.35
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 3570
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 584144.79
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1076
by Low-Income Subsidy 34090.35
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
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
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 222
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 42918.84
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 29
Average Age of Beneficiaries 56.020304569
Number of Beneficiaries Age Less Than 65 123
Number of Beneficiaries Age 65 to 74 59
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 128
Number of Male Beneficiaries 69
Number of Non-Hispanic White 176
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 78
Average Hierarchical Condition Category 1.1772900169

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