Dr. Stanley Richard Balon

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Stanley Richard Balon
Gender:	M
Provider License Number If Given:	5801

NPI Information:

NPI:	1003860172
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/21/2006
Last Update Date:	6/19/2008
Reputation Report:

Provider Business Mailing Address:

Address:	175 NATE WHIPPLE HWY SUITE 204 Cumberland, RI 02864
Phone Number:	4016581744
Fax Number:	4016581750

Provider Business Practice Location Address:

Address:	175 NATE WHIPPLE HWY SUITE 204 Cumberland, RI 02864
Phone Number:	4016581744
Fax Number:	4016581750

Provider Taxonomy:

Primary:	207R00000X
Secondary (if any):
State:	RI

Top Doctors in RI

About Dr. Stanley Richard Balon

Dr. Stanley Richard Balon (DR. STANLEY RICHARD BALON ) is A Internal Medicine Physician in Cumberland, RI. The NPI Number for Dr. Stanley Richard Balon is 1003860172.

The current location address for Dr. Stanley Richard Balon is 175 NATE WHIPPLE HWY SUITE 204 Cumberland, RI 02864 and the contact number is 4016581744 and fax number is 4016581750. The mailing address for Dr. Stanley Richard Balon is 175 NATE WHIPPLE HWY SUITE 204 Cumberland, RI 02864- 4016581744 (mailing address contact number - 4016581744).

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Stanley Richard Balon ?

Answer: The NPI Number for Dr. Stanley Richard Balon is 1003860172

Where is Dr. Stanley Richard Balon located?

Answer: Dr. Stanley Richard Balon is located at 175 NATE WHIPPLE HWY SUITE 204 Cumberland, RI 02864.

What is the specialty for Dr. Stanley Richard Balon ?

Answer: The Specialty of Dr. Stanley Richard Balon is A Internal Medicine Physician.

Are there any online reviews for Dr. Stanley Richard Balon ?

Answer: Yes! Check It Now.

Are there any other health care providers in Cumberland, RI?

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 Dr. Stanley Richard Balon

Number of HCPCS	28
Number of Medicare Beneficiaries	326
Number of Services	1440
Total Submitted Charge Amount	170511.9
Total Medicare Allowed Amount	133749.04
Total Medicare Payment Amount	98133.14
Total Medicare Standardized Payment Amount	93159
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	4
Number of Medicare Beneficiaries With Drug Services	63
Number of Drug Services	64
Total Drug Submitted Charge Amount	31.9
Total Drug Medicare Allowed Amount	31.9
Total Drug Medicare Payment Amount	31.8
Total Drug Medicare Standardized Payment Amount	31.16
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	24
Number of Medicare Beneficiaries With Medical	326
Number of Medical Services	1376
Total Medical Submitted Charge Amount	170480
Total Medical Medicare Allowed Amount	133717.14
Total Medical Medicare Payment Amount	98101.34
Total Medical Medicare Standardized Payment Amount	93127.84
Average Age of Beneficiaries	77
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	132
Number of Beneficiaries Age 75 to 84	123
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	173
Number of Male Beneficiaries	153
Number of Non-Hispanic White Beneficiaries
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	16
Number of Beneficiaries With Medicare Only Entitlement	310
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.15
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.1
Percent (%) of Beneficiaries Identified With Asthma	0.06
Percent (%) of Beneficiaries Identified With Cancer	0.09
Percent (%) of Beneficiaries Identified With Heart Failure	0.19
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.26
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.09
Percent (%) of Beneficiaries Identified With Depression	0.15
Percent (%) of Beneficiaries Identified With Diabetes	0.29
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.75
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.33
Percent (%) of Beneficiaries Identified With Osteoporosis	0.14
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.54
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.05
Average HCC Risk Score of Beneficiaries	1.0597

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	Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	13308
Number of Standardized 30-Day Fills	27449.9
Aggregate Cost Paid for All Claims	862613.59
Number of Day's Supply for All Claims	802135
Number of Medicare Beneficiaries	703
Number of Claims, Including Refills, for Beneficiaries Age 65+	12856
Including Refills, for Beneficiaries Age 65+	26639.3
Beneficiaries Age 65+	843238.89
Number of Day's Supply for All Claims for Beneficaries Age 65+	778678
Number of Medicare Beneficiaries Age 65+	678
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	1464
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	11723
Aggregate Cost Paid for Generic Drugs	213725
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	121
Aggregate Cost Paid for Other Drugs	5071.12
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	8460
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	525179.86
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	4848
Aggregate Cost Paid for Claims Filled by	337433.73
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	2215
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	123311.51
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	11093
by Low-Income Subsidy	739302.08
Total Claims of Opioid Drugs, Including	287
Aggregate Cost Paid for Opioid Drugs	2511.87
Opioid Claims	54
Opioid_Tot_Clms divided by the Tot_Clms	2.1565975353
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	269
Aggregate Cost Paid for Antibiotic Drugs	2639.78
Antibiotic Claims	153
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	35
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	866.99
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	76.948790896
Number of Beneficiaries Age Less Than 65	25
Number of Beneficiaries Age 65 to 74	278
Number of Beneficiaries Age 75 to 84	246
Number of Female Beneficiaries	382
Number of Male Beneficiaries	321
Number of Non-Hispanic White	688
Number of Black or African American	0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	651
Average Hierarchical Condition Category	1.0914566329

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