Quinton Ty Bohannon

Home > Quinton Ty Bohannon

NPI Number Detailed Information

Provider Information:

Name:	Quinton Ty Bohannon
Gender:	M
Provider License Number If Given:	2239

NPI Information:

NPI:	1003154725
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	1/30/2013
Last Update Date:	1/30/2013

Provider Business Mailing Address:

Address:	108 W OHIO AVE Coalgate, OK 74538
Phone Number:	5809272334
Fax Number:

Provider Business Practice Location Address:

Address:	108 W OHIO AVE Coalgate, OK 74538
Phone Number:	5809272334
Fax Number:

Provider Taxonomy:

Primary:	363AM0700X
Secondary (if any):
State:	OK

Top Doctors in OK

About Quinton Ty Bohannon

Quinton Ty Bohannon ( QUINTON TY BOHANNON ) is Definition Physician Assistant Physician in Coalgate, OK. The NPI Number for Quinton Ty Bohannon is 1003154725.

The current location address for Quinton Ty Bohannon is 108 W OHIO AVE Coalgate, OK 74538 and the contact number is 5809272334 and fax number is . The mailing address for Quinton Ty Bohannon is 108 W OHIO AVE Coalgate, OK 74538- 5809272334 (mailing address contact number - 5809272334).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Quinton Ty Bohannon ?

Answer: The NPI Number for Quinton Ty Bohannon is 1003154725

Where is Quinton Ty Bohannon located?

Answer: Quinton Ty Bohannon is located at 108 W OHIO AVE Coalgate, OK 74538.

What is the specialty for Quinton Ty Bohannon ?

Answer: The Specialty of Quinton Ty Bohannon is Definition Physician Assistant Physician.

Are there any online reviews for Quinton Ty Bohannon ?

Answer: Not yet!

Are there any other health care providers in Coalgate, OK?

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 Quinton Ty Bohannon

Number of HCPCS	82
Number of Medicare Beneficiaries	708
Number of Services	4510
Total Submitted Charge Amount	300937.57
Total Medicare Allowed Amount	136293.35
Total Medicare Payment Amount	99803.77
Total Medicare Standardized Payment Amount	104632.36
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	14
Number of Medicare Beneficiaries With Drug Services	224
Number of Drug Services	2183
Total Drug Submitted Charge Amount	20633.45
Total Drug Medicare Allowed Amount	936.96
Total Drug Medicare Payment Amount	695.15
Total Drug Medicare Standardized Payment Amount	681.54
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	68
Number of Medicare Beneficiaries With Medical	708
Number of Medical Services	2327
Total Medical Submitted Charge Amount	280304.12
Total Medical Medicare Allowed Amount	135356.39
Total Medical Medicare Payment Amount	99108.62
Total Medical Medicare Standardized Payment Amount	103950.82
Average Age of Beneficiaries	71
Number of Beneficiaries Age Less 65	118
Number of Beneficiaries Age 65 to 74	319
Number of Beneficiaries Age 75 to 84	205
Number of Beneficiaries Age Greater 84	66
Number of Female Beneficiaries	416
Number of Male Beneficiaries	292
Number of Non-Hispanic White Beneficiaries	589
Number of Black or African American Beneficiaries	20
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries	83
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	154
Number of Beneficiaries With Medicare Only Entitlement	554
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.1
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.09
Percent (%) of Beneficiaries Identified With Asthma	0.06
Percent (%) of Beneficiaries Identified With Cancer	0.07
Percent (%) of Beneficiaries Identified With Heart Failure	0.21
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.29
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.17
Percent (%) of Beneficiaries Identified With Depression	0.23
Percent (%) of Beneficiaries Identified With Diabetes	0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.57
Percent (%) of Beneficiaries Identified With Hypertension	0.69
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.38
Percent (%) of Beneficiaries Identified With Osteoporosis	0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.45
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.03
Percent (%) of Beneficiaries Identified With Stroke	0.04
Average HCC Risk Score of Beneficiaries	1.1098

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	Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	2624
Number of Standardized 30-Day Fills	3627.6
Aggregate Cost Paid for All Claims	100762.2
Number of Day's Supply for All Claims	80402
Number of Medicare Beneficiaries	563
Number of Claims, Including Refills, for Beneficiaries Age 65+	2139
Including Refills, for Beneficiaries Age 65+	3076.4333333
Beneficiaries Age 65+	92101.69
Number of Day's Supply for All Claims for Beneficaries Age 65+	70889
Number of Medicare Beneficiaries Age 65+	443
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	206
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	2402
Aggregate Cost Paid for Generic Drugs	26894.31
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	16
Aggregate Cost Paid for Other Drugs	796.49
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	886
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	55185.69
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	1738
Aggregate Cost Paid for Claims Filled by	45576.51
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	898
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	51568.6
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	1726
by Low-Income Subsidy	49193.6
Total Claims of Opioid Drugs, Including	26
Aggregate Cost Paid for Opioid Drugs	84.49
Opioid Claims	22
Opioid_Tot_Clms divided by the Tot_Clms	0.9908536585
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	463
Aggregate Cost Paid for Antibiotic Drugs	5390.66
Antibiotic Claims	316
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	69.992895204
Number of Beneficiaries Age Less Than 65	120
Number of Beneficiaries Age 65 to 74	251
Number of Beneficiaries Age 75 to 84	156
Number of Female Beneficiaries	343
Number of Male Beneficiaries	220
Number of Non-Hispanic White	479
Number of Black or African American	13
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	58
Number of Beneficiaries with Race Not
Only Entitlement	392
Average Hierarchical Condition Category	1.0923046572

More Providers in Coalgate , OK

Richard J Helton
Family Medicine Physician
NPI Number: 1972545820
Address: 108 W OHIO Coalgate, OK 74538 , Phone: 5809272334

Ms. Ruth Elaine Fereday
Physician Assistant
NPI Number: 1336253731
Address: 108 W OHIO AVE Coalgate, OK 74538 , Phone: 5809272334

Palace Drug Of Coalgate Llc
Long Term Care Pharmacy
NPI Number: 1780767731
Address: 104 W OHIO AVE Coalgate, OK 74538 , Phone: 5809272064

Coalgate Dental Clinic Pc
Dentist
NPI Number: 1972679074
Address: 405 W CLAY Coalgate, OK 74538 , Phone: 5809272331

Coal County General Hospital
Clinic/Center
NPI Number: 1750459756
Address: 6 N COVINGTON ST Coalgate, OK 74538 , Phone: 5809272327

Coalgate Public School
Local Education Agency (LEA)
NPI Number: 1578603577
Address: 3 WEST CEDAR Coalgate, OK 74538 , Phone: 5809272338

Mr. Stephen John Penney
Physical Therapist
NPI Number: 1609093848
Address: 6 N COVINGTON ST Coalgate, OK 74538 , Phone: 5809272327

Mrs. Tracy Mowdy Penney
Speech-Language Pathologist
NPI Number: 1447478763
Address: COAL COUNTY GENERAL HOSPITAL, PT DEPT 6 NORTH COVINGTON Coalgate, OK 74538 , Phone: 5809272327

Mrs. Regina Baker
Lodging Provider
NPI Number: 1982825758
Address: 205 W CEDAR Coalgate, OK 74538 , Phone: 5809279946

Dr. Michael Dell Hendrix
Family Medicine Physician
NPI Number: 1447471255
Address: 107 E POST AVE Coalgate, OK 74538 , Phone: 5809272828

Dr. Lena Renee Craig
Dentist
NPI Number: 1750584132
Address: 405 W CLAY AVE Coalgate, OK 74538 , Phone: 5809272331

Richard J Helton
Family Medicine Physician
NPI Number: 1700063229
Address: 108 W OHIO AVE Coalgate, OK 74538 , Phone: 5809272334

Helton Rural Health Clinic
Family Medicine Physician
NPI Number: 1720265945
Address: 108 W OHIO AVE Coalgate, OK 74538 , Phone: 5809272334

Coal County General Hospital
Medicare Defined Swing Bed Hospital Unit
NPI Number: 1730357922
Address: 6 N COVINGTON ST Coalgate, OK 74538 , Phone: 5809272327

Richard J Helton
Family Medicine Physician
NPI Number: 1326216839
Address: 108 W OHIO AVE Coalgate, OK 74538 , Phone: 5809272334

Pennington Creek Life House
Community/Behavioral Health Agency
NPI Number: 1922246115
Address: 8 S MICHIGAN ST STE B Coalgate, OK 74538 , Phone: 5803104164

Jackie Leann Horton
Mental Health Counselor
NPI Number: 1407175185
Address: RR 4 BOX 854 Coalgate, OK 74538 , Phone: 5803995398

Family Health Center Of Southern Oklahoma Inc
Federally Qualified Health Center (FQHC)
NPI Number: 1174830665
Address: 107 E POST AVE Coalgate, OK 74538 , Phone: 5809272828

Penney Rehab And Wellness Center, Llc
Physical Therapy Clinic/Center
NPI Number: 1497006456
Address: 1004 S BROADWAY ST Coalgate, OK 74538 , Phone: 5809279121

Carol Yeager Hargis
Rehabilitation Practitioner
NPI Number: 1962746214
Address: RR 4 BOX 1107 Coalgate, OK 74538 , Phone: 9404475732

Quinton Ty Bohannon
Medical Physician Assistant
NPI Number: 1003154725
Address: 108 W OHIO AVE Coalgate, OK 74538 , Phone: 5809272334

Jurean Rena Cook
Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Number: 1194162362
Address: 101 E FAIR BARN RD STE B Coalgate, OK 74538 , Phone: 5809272044

Kevin Milam
Radiography Radiologic Technologist
NPI Number: 1295173698
Address: 806 S HARVEY ST Coalgate, OK 74538 , Phone: 5802588772

New Horizon Homecare, Llc
Home Health Agency
NPI Number: 1104257534
Address: 1 N ARNO ST Coalgate, OK 74538 , Phone: 5809272327

Madisyn Romano
Case Manager/Care Coordinator
NPI Number: 1437579729
Address: 13 LEVY ANX Coalgate, OK 74538 , Phone: 5807752315

Xyz Medical Llc
Clinical Medical Laboratory
NPI Number: 1457769473
Address: 104 W OHIO AVE STE 200 Coalgate, OK 74538 , Phone: 9184237191

Jackie Horton Llc
Mental Health Counselor
NPI Number: 1154702256
Address: RR 4 BOX 854 Coalgate, OK 74538 , Phone: 5803995398

Justin Farris
Counselor
NPI Number: 1063896116
Address: 404 W CEDAR AVE Coalgate, OK 74538 , Phone: 5809270502

Kayley Ybarra
Counselor
NPI Number: 1174986814
Address: 6 E LAFAYETTE AVE Coalgate, OK 74538 , Phone: 5809273168

New Horizons Treatment Services Llc
Case Management Agency
NPI Number: 1881138857
Address: 6 E LAFAYETTE AVE STE A Coalgate, OK 74538 , Phone: 5809273168

Jenna Kennison
Behavior Technician
NPI Number: 1932646353
Address: RR 4 BOX 2000 Coalgate, OK 74538 , Phone: 5805793291

Mrs. Cathy Louise Edwards
Case Manager/Care Coordinator
NPI Number: 1790223584
Address: 6 E LAFAYETTE AVE Coalgate, OK 74538 , Phone: 5802581967

Matt Calvert
Case Manager/Care Coordinator
NPI Number: 1235663279
Address: 16351 US HIGHWAY 75 Coalgate, OK 74538 , Phone: 5809275155

Tabitha Nave
Family Nurse Practitioner
NPI Number: 1376068460
Address: 107 E POST AVE Coalgate, OK 74538 , Phone: 5809272828

Carol Lynn Black
Family Nurse Practitioner
NPI Number: 1013427129
Address: 107 E POST AVE Coalgate, OK 74538 , Phone: 5809272828

Joy Gibson
Counselor
NPI Number: 1275036766
Address: 107 E POST AVE Coalgate, OK 74538 , Phone: 5809272828

Beau Hopkins
Case Manager/Care Coordinator
NPI Number: 1447732003
Address: 5 S BYRD ST Coalgate, OK 74538 , Phone: 6825647297

Jamie Niccole Smith
Case Manager/Care Coordinator
NPI Number: 1609359181
Address: 709 S ARNO ST Coalgate, OK 74538 , Phone: 4053132342

Clayton Ray Griffith
Case Manager/Care Coordinator
NPI Number: 1437724838
Address: 605 S ADA ST Coalgate, OK 74538 , Phone: 5802588373

Tina Hull
Case Manager/Care Coordinator
NPI Number: 1326707324
Address: 303 N NEWELL ST Coalgate, OK 74538 , Phone: 5802972372

Billy Ray Wilson SR.
Case Manager/Care Coordinator
NPI Number: 1215684832
Address: 902 W BLAIR AVE Coalgate, OK 74538 , Phone: 5809275588

Bailey Rose Crites
Case Manager/Care Coordinator
NPI Number: 1174256077
Address: 16493 COUNTY ROAD 3830 Coalgate, OK 74538 , Phone: 5809276620

City Of Coalgate
Basic Emergency Medical Technician
NPI Number: 1730182908
Address: 3 S MAIN ST Coalgate, OK 74538 , Phone: 5809273913

Coal County General Hospital
Critical Access Hospital
NPI Number: 1629077227
Address: 6 N COVINGTON ST Coalgate, OK 74538 , Phone: 5809272327

Coal County Extended Care Incorporated
Skilled Nursing Facility
NPI Number: 1639178130
Address: 7 N COVINGTON ST Coalgate, OK 74538 , Phone: 5809272000