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Raoul Devin Nelson

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NPI Number Detailed Information

Provider Information:

Name: Raoul Devin Nelson
Gender: M
Provider License Number If Given: 177029-1205

NPI Information:

NPI: 1972682540
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 11/3/2006

Last Update Date: 11/8/2021

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 413021
Salt Lake City, UT 84141
Phone Number: 8012133900
Fax Number:

Provider Business Practice Location Address:

Address: 100 MARIO CAPECCHI DR
Salt Lake City, UT 84113
Phone Number: 8015877575
Fax Number:

Provider Taxonomy:

Primary: 2080P0210X
Secondary (if any):
State: UT

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About Raoul Devin Nelson

Raoul Devin Nelson ( RAOUL DEVIN NELSON ) is A Pediatrics Physician in Salt Lake City, UT. The NPI Number for Raoul Devin Nelson is 1972682540.
The current location address for Raoul Devin Nelson is 100 MARIO CAPECCHI DR Salt Lake City, UT 84113 and the contact number is 8012133900 and fax number is . The mailing address for Raoul Devin Nelson is PO BOX 413021 Salt Lake City, UT 84141- 8015877575 (mailing address contact number - 8012133900).
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Provider Business Location on Map

FAQs:

What is the NPI Number for Raoul Devin Nelson ?


Answer: The NPI Number for Raoul Devin Nelson is 1972682540

Where is Raoul Devin Nelson located?


Answer: Raoul Devin Nelson is located at 100 MARIO CAPECCHI DR Salt Lake City, UT 84113.

What is the specialty for Raoul Devin Nelson ?


Answer: The Specialty of Raoul Devin Nelson is A Pediatrics Physician.

Are there any online reviews for Raoul Devin Nelson ?


Answer: Yes! Check It Now.

Are there any other health care providers in Salt Lake City, UT?


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 Raoul Devin Nelson

Number of HCPCS 10
Number of Medicare Beneficiaries 12
Number of Services 39
Total Submitted Charge Amount 36575.67
Total Medicare Allowed Amount 9330.86
Total Medicare Payment Amount 7006.32
Total Medicare Standardized Payment Amount 7112.34
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 10
Number of Medicare Beneficiaries With Medical 12
Number of Medical Services 39
Total Medical Submitted Charge Amount 36575.67
Total Medical Medicare Allowed Amount 9330.86
Total Medical Medicare Payment Amount 7006.32
Total Medical Medicare Standardized Payment Amount 7112.34
Average Age of Beneficiaries 15
Number of Beneficiaries Age Less 65 12
Number of Beneficiaries Age 65 to 74 0
Number of Beneficiaries Age 75 to 84 0
Number of Beneficiaries Age Greater 84 0
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries 0
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0
Percent (%) of Beneficiaries Identified With Heart Failure 0
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.75
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes 0
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis 0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 7.0121

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 Pediatric Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 36
Number of Standardized 30-Day Fills 36.8
Aggregate Cost Paid for All Claims 6745.88
Number of Day's Supply for All Claims 999
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+ 0
Including Refills, for Beneficiaries Age 65+ 0
Beneficiaries Age 65+ 0
Number of Day's Supply for All Claims for Beneficaries Age 65+ 0
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 34
Aggregate Cost Paid for Generic Drugs 3660.54
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 0
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 0
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 36
Aggregate Cost Paid for Claims Filled by 6745.88
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst #
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst *
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims
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
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+ 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
Average Age of Beneficiaries 14.25
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
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
Average Hierarchical Condition Category 5.4788981935

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