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Mr. Shane A Maxwell

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NPI Number Detailed Information

Provider Information:

Name: Mr. Shane A Maxwell
Gender: M
Provider License Number If Given: O0385

NPI Information:

NPI: 1508825456
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/20/2006

Last Update Date: 7/21/2022

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 1128
Boise, ID 83701
Phone Number: 2083812222
Fax Number: 2084633044

Provider Business Practice Location Address:

Address: 3551 E OVERLAND RD
Meridian, ID 83642
Phone Number: 2088841333
Fax Number: 2084895188

Provider Taxonomy:

Primary: 208VP0014X
Secondary (if any):
State: ID

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About Mr. Shane A Maxwell

Mr. Shane A Maxwell (MR. SHANE A MAXWELL ) is Interventional Pain Medicine Physician in Meridian, ID. The NPI Number for Mr. Shane A Maxwell is 1508825456.
The current location address for Mr. Shane A Maxwell is 3551 E OVERLAND RD Meridian, ID 83642 and the contact number is 2083812222 and fax number is 2084633044. The mailing address for Mr. Shane A Maxwell is PO BOX 1128 Boise, ID 83701- 2088841333 (mailing address contact number - 2083812222).
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Shane A Maxwell ?


Answer: The NPI Number for Mr. Shane A Maxwell is 1508825456

Where is Mr. Shane A Maxwell located?


Answer: Mr. Shane A Maxwell is located at 3551 E OVERLAND RD Meridian, ID 83642.

What is the specialty for Mr. Shane A Maxwell ?


Answer: The Specialty of Mr. Shane A Maxwell is Interventional Pain Medicine Physician.

Are there any online reviews for Mr. Shane A Maxwell ?


Answer: Yes! Check It Now.

Are there any other health care providers in Meridian, 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 Mr. Shane A Maxwell

Number of HCPCS 28
Number of Medicare Beneficiaries 276
Number of Services 1411
Total Submitted Charge Amount 340263.07
Total Medicare Allowed Amount 131547.41
Total Medicare Payment Amount 96506.85
Total Medicare Standardized Payment Amount 106930.12
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 68
Number of Beneficiaries Age Less 65 82
Number of Beneficiaries Age 65 to 74 116
Number of Beneficiaries Age 75 to 84 65
Number of Beneficiaries Age Greater 84 13
Number of Female Beneficiaries 179
Number of Male Beneficiaries 97
Number of Non-Hispanic White Beneficiaries 252
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 56
Number of Beneficiaries With Medicare Only Entitlement 220
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.07
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.07
Percent (%) of Beneficiaries Identified With Asthma 0.13
Percent (%) of Beneficiaries Identified With Cancer 0.06
Percent (%) of Beneficiaries Identified With Heart Failure 0.1
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.3
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.13
Percent (%) of Beneficiaries Identified With Depression 0.45
Percent (%) of Beneficiaries Identified With Diabetes 0.27
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.46
Percent (%) of Beneficiaries Identified With Hypertension 0.53
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.22
Percent (%) of Beneficiaries Identified With Osteoporosis 0.14
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.3453

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 Pain Management
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 8715
Number of Standardized 30-Day Fills 9319.9333333
Aggregate Cost Paid for All Claims 599281.2
Number of Day's Supply for All Claims 269354
Number of Medicare Beneficiaries 462
Number of Claims, Including Refills, for Beneficiaries Age 65+ 4897
Including Refills, for Beneficiaries Age 65+ 5292.5666667
Beneficiaries Age 65+ 275104.67
Number of Day's Supply for All Claims for Beneficaries Age 65+ 154227
Number of Medicare Beneficiaries Age 65+ 292
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 414
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 8301
Aggregate Cost Paid for Generic Drugs 341654.28
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 5971
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 471715.53
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2744
Aggregate Cost Paid for Claims Filled by 127565.67
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 3956
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 356605.44
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 4759
by Low-Income Subsidy 242675.76
Total Claims of Opioid Drugs, Including 5298
Aggregate Cost Paid for Opioid Drugs 396007.45
Opioid Claims 418
Opioid_Tot_Clms divided by the Tot_Clms 60.791738382
Total Claims of Long-Acting Opioid Drugs 1517
Aggregate Cost Paid for Long-Acting Opioid 217306.23
Number of Day's Supply of All Long-Acting 45475
Long-Acting Opioid Claims 156
Opioid_LA_Tot_Clms divided by the 28.633446584
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 0
Average Age of Beneficiaries 66.227272727
Number of Beneficiaries Age Less Than 65 170
Number of Beneficiaries Age 65 to 74 194
Number of Beneficiaries Age 75 to 84 81
Number of Female Beneficiaries 309
Number of Male Beneficiaries 153
Number of Non-Hispanic White 425
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 26
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 297
Average Hierarchical Condition Category 1.5294869146

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