Omar Jishi Moore

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NPI Number Detailed Information

Provider Information:

Name:	Omar Jishi Moore
Gender:	M
Provider License Number If Given:	ME13426

NPI Information:

NPI:	1487072245
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	3/30/2014
Last Update Date:	9/21/2022
Reputation Report:

Provider Business Mailing Address:

Address:	PO BOX 41113 Jacksonville, FL 32203
Phone Number:	9043764400
Fax Number:	9043915595

Provider Business Practice Location Address:

Address:	841 PRUDENTIAL DR FL 10 Jacksonville, FL 32207
Phone Number:	9043985404
Fax Number:	9043915545

Provider Taxonomy:

Primary:	2084N0600X
Secondary (if any):	2084N0400X
State:	FL

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About Omar Jishi Moore

Omar Jishi Moore ( OMAR JISHI MOORE ) is Clinical Psychiatry & Neurology Physician in Jacksonville, FL. The NPI Number for Omar Jishi Moore is 1487072245.

The current location address for Omar Jishi Moore is 841 PRUDENTIAL DR FL 10 Jacksonville, FL 32207 and the contact number is 9043764400 and fax number is 9043915595. The mailing address for Omar Jishi Moore is PO BOX 41113 Jacksonville, FL 32203- 9043985404 (mailing address contact number - 9043764400).

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

Provider Business Location on Map

FAQs:

What is the NPI Number for Omar Jishi Moore ?

Answer: The NPI Number for Omar Jishi Moore is 1487072245

Where is Omar Jishi Moore located?

Answer: Omar Jishi Moore is located at 841 PRUDENTIAL DR FL 10 Jacksonville, FL 32207.

What is the specialty for Omar Jishi Moore ?

Answer: The Specialty of Omar Jishi Moore is Clinical Psychiatry & Neurology Physician.

Are there any online reviews for Omar Jishi Moore ?

Answer: Yes! Check It Now.

Are there any other health care providers in Jacksonville, FL?

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 Omar Jishi Moore

Number of HCPCS	25
Number of Medicare Beneficiaries	229
Number of Services	351
Total Submitted Charge Amount	102399
Total Medicare Allowed Amount	49457.71
Total Medicare Payment Amount	35618.16
Total Medicare Standardized Payment Amount	34875.7
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	25
Number of Medicare Beneficiaries With Medical	229
Number of Medical Services	351
Total Medical Submitted Charge Amount	102399
Total Medical Medicare Allowed Amount	49457.71
Total Medical Medicare Payment Amount	35618.16
Total Medical Medicare Standardized Payment Amount	34875.7
Average Age of Beneficiaries	73
Number of Beneficiaries Age Less 65	30
Number of Beneficiaries Age 65 to 74	87
Number of Beneficiaries Age 75 to 84	73
Number of Beneficiaries Age Greater 84	39
Number of Female Beneficiaries	132
Number of Male Beneficiaries	97
Number of Non-Hispanic White Beneficiaries	183
Number of Black or African American Beneficiaries	30
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	40
Number of Beneficiaries With Medicare Only Entitlement	189
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.18
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.45
Percent (%) of Beneficiaries Identified With Asthma	0.12
Percent (%) of Beneficiaries Identified With Cancer	0.16
Percent (%) of Beneficiaries Identified With Heart Failure	0.31
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.53
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.23
Percent (%) of Beneficiaries Identified With Depression	0.49
Percent (%) of Beneficiaries Identified With Diabetes	0.42
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.74
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.59
Percent (%) of Beneficiaries Identified With Osteoporosis	0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.54
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.11
Percent (%) of Beneficiaries Identified With Stroke	0.42
Average HCC Risk Score of Beneficiaries	2.1916

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	Neurology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	741
Number of Standardized 30-Day Fills	1106.5333333
Aggregate Cost Paid for All Claims	95480.36
Number of Day's Supply for All Claims	31518
Number of Medicare Beneficiaries	104
Number of Claims, Including Refills, for Beneficiaries Age 65+	450
Including Refills, for Beneficiaries Age 65+	682.63333333
Beneficiaries Age 65+	29190.22
Number of Day's Supply for All Claims for Beneficaries Age 65+	19611
Number of Medicare Beneficiaries Age 65+	75
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	34
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	677
Aggregate Cost Paid for Generic Drugs	55934.43
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	30
Aggregate Cost Paid for Other Drugs	2765.53
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	303
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	22571.83
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	438
Aggregate Cost Paid for Claims Filled by	72908.53
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	325
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	74536.81
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	416
by Low-Income Subsidy	20943.55
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	0
Aggregate Cost Paid for Antibiotic Drugs	0
Antibiotic Claims	0
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	66.990384615
Number of Beneficiaries Age Less Than 65	29
Number of Beneficiaries Age 65 to 74	41
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	64
Number of Male Beneficiaries	40
Number of Non-Hispanic White	79
Number of Black or African American	12
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	77
Average Hierarchical Condition Category	2.1816829228

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