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Ryan T Mcculloch

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NPI Number Detailed Information

Provider Information:

Name: Ryan T Mcculloch
Gender: M
Provider License Number If Given: PA405

NPI Information:

NPI: 1720195530
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 8/25/2006
Last Update Date: 12/20/2010

Provider Business Mailing Address:

Address: 147 W CHUBBUCK RD
Chubbuck, ID 83202
Phone Number: 2082387546
Fax Number: 2082379643

Provider Business Practice Location Address:

Address: 147 W CHUBBUCK RD
Chubbuck, ID 83202
Phone Number: 2082387546
Fax Number: 2082379643

Provider Taxonomy:

Primary: 363A00000X
Secondary (if any):
State: ID

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About Ryan T Mcculloch

Ryan T Mcculloch ( RYAN T MCCULLOCH ) is A Physician Assistant Physician in Chubbuck, ID. The NPI Number for Ryan T Mcculloch is 1720195530.
The current location address for Ryan T Mcculloch is 147 W CHUBBUCK RD Chubbuck, ID 83202 and the contact number is 2082387546 and fax number is 2082379643. The mailing address for Ryan T Mcculloch is 147 W CHUBBUCK RD Chubbuck, ID 83202- 2082387546 (mailing address contact number - 2082387546).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Business Location on Map

FAQs:

What is the NPI Number for Ryan T Mcculloch ?


Answer: The NPI Number for Ryan T Mcculloch is 1720195530

Where is Ryan T Mcculloch located?


Answer: Ryan T Mcculloch is located at 147 W CHUBBUCK RD Chubbuck, ID 83202.

What is the specialty for Ryan T Mcculloch ?


Answer: The Specialty of Ryan T Mcculloch is A Physician Assistant Physician.

Are there any online reviews for Ryan T Mcculloch ?


Answer: Not yet!

Are there any other health care providers in Chubbuck, ID?


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 Ryan T Mcculloch

Number of HCPCS 52
Number of Medicare Beneficiaries 974
Number of Services 5245
Total Submitted Charge Amount 506080.5
Total Medicare Allowed Amount 194580.01
Total Medicare Payment Amount 123998.78
Total Medicare Standardized Payment Amount 137074.51
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 2
Number of Medicare Beneficiaries With Drug Services 11
Number of Drug Services 467
Total Drug Submitted Charge Amount 1009
Total Drug Medicare Allowed Amount 726.67
Total Drug Medicare Payment Amount 568.14
Total Drug Medicare Standardized Payment Amount 556.76
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 50
Number of Medicare Beneficiaries With Medical 974
Number of Medical Services 4778
Total Medical Submitted Charge Amount 505071.5
Total Medical Medicare Allowed Amount 193853.34
Total Medical Medicare Payment Amount 123430.64
Total Medical Medicare Standardized Payment Amount 136517.75
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 39
Number of Beneficiaries Age 65 to 74 539
Number of Beneficiaries Age 75 to 84 303
Number of Beneficiaries Age Greater 84 93
Number of Female Beneficiaries 411
Number of Male Beneficiaries 563
Number of Non-Hispanic White Beneficiaries 935
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 16
Number of Beneficiaries With Medicare & Medicaid Entitlement 49
Number of Beneficiaries With Medicare Only Entitlement 925
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.08
Percent (%) of Beneficiaries Identified With Heart Failure 0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.22
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.06
Percent (%) of Beneficiaries Identified With Depression 0.18
Percent (%) of Beneficiaries Identified With Diabetes 0.22
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.41
Percent (%) of Beneficiaries Identified With Hypertension 0.51
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.22
Percent (%) of Beneficiaries Identified With Osteoporosis 0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.4
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.02
Average HCC Risk Score of Beneficiaries 0.9077

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 780
Number of Standardized 30-Day Fills 891.26666667
Aggregate Cost Paid for All Claims 266597.08
Number of Day's Supply for All Claims 22020
Number of Medicare Beneficiaries 335
Number of Claims, Including Refills, for Beneficiaries Age 65+ 656
Including Refills, for Beneficiaries Age 65+ 761.66666667
Beneficiaries Age 65+ 160746.1
Number of Day's Supply for All Claims for Beneficaries Age 65+ 18813
Number of Medicare Beneficiaries Age 65+ 296
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 45
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 735
Aggregate Cost Paid for Generic Drugs 30971.85
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 309
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 234409.76
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 471
Aggregate Cost Paid for Claims Filled by 32187.32
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 162
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 240167.16
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 618
by Low-Income Subsidy 26429.92
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 98
Aggregate Cost Paid for Antibiotic Drugs 3262.62
Antibiotic Claims 43
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 71.641791045
Number of Beneficiaries Age Less Than 65 39
Number of Beneficiaries Age 65 to 74 172
Number of Beneficiaries Age 75 to 84 99
Number of Female Beneficiaries 150
Number of Male Beneficiaries 185
Number of Non-Hispanic White 316
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 286
Average Hierarchical Condition Category 0.9425475672

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Ryan T Mcculloch in Other Directories

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