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Supak Sookkasikon

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NPI Number Detailed Information

Provider Information:

Name: Supak Sookkasikon
Gender: F
Provider License Number If Given: 4301083253

NPI Information:

NPI: 1649376922
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/15/2006

Last Update Date: 2/28/2014

Reputation Report:

Provider Business Mailing Address:

Address: 4050 W MAPLE RD SUITE 101
Bloomfield Township, MI 48301
Phone Number: 2488858211
Fax Number: 2488858357

Provider Business Practice Location Address:

Address: 4050 W MAPLE RD SUITE 101
Bloomfield Township, MI 48301
Phone Number: 2488858211
Fax Number: 2488858357

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: MI

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About Supak Sookkasikon

Supak Sookkasikon ( SUPAK SOOKKASIKON ) is Family Family Medicine Physician in Bloomfield Township, MI. The NPI Number for Supak Sookkasikon is 1649376922.
The current location address for Supak Sookkasikon is 4050 W MAPLE RD SUITE 101 Bloomfield Township, MI 48301 and the contact number is 2488858211 and fax number is 2488858357. The mailing address for Supak Sookkasikon is 4050 W MAPLE RD SUITE 101 Bloomfield Township, MI 48301- 2488858211 (mailing address contact number - 2488858211).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Supak Sookkasikon ?


Answer: The NPI Number for Supak Sookkasikon is 1649376922

Where is Supak Sookkasikon located?


Answer: Supak Sookkasikon is located at 4050 W MAPLE RD SUITE 101 Bloomfield Township, MI 48301.

What is the specialty for Supak Sookkasikon ?


Answer: The Specialty of Supak Sookkasikon is Family Family Medicine Physician.

Are there any online reviews for Supak Sookkasikon ?


Answer: Yes! Check It Now.

Are there any other health care providers in Bloomfield Township, MI?


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 Supak Sookkasikon

Number of HCPCS 80
Number of Medicare Beneficiaries 986
Number of Services 1811
Total Submitted Charge Amount 179036.64
Total Medicare Allowed Amount 135678.28
Total Medicare Payment Amount 118177.4
Total Medicare Standardized Payment Amount 113383.18
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 13
Number of Medicare Beneficiaries With Drug Services 51
Number of Drug Services 86
Total Drug Submitted Charge Amount 1990
Total Drug Medicare Allowed Amount 294.2
Total Drug Medicare Payment Amount 237.87
Total Drug Medicare Standardized Payment Amount 233.12
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 67
Number of Medicare Beneficiaries With Medical 986
Number of Medical Services 1725
Total Medical Submitted Charge Amount 177046.64
Total Medical Medicare Allowed Amount 135384.08
Total Medical Medicare Payment Amount 117939.53
Total Medical Medicare Standardized Payment Amount 113150.06
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 55
Number of Beneficiaries Age 65 to 74 536
Number of Beneficiaries Age 75 to 84 270
Number of Beneficiaries Age Greater 84 125
Number of Female Beneficiaries 607
Number of Male Beneficiaries 379
Number of Non-Hispanic White Beneficiaries 847
Number of Black or African American Beneficiaries 41
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 59
Number of Beneficiaries With Medicare & Medicaid Entitlement 72
Number of Beneficiaries With Medicare Only Entitlement 914
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 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.1
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.19
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.06
Percent (%) of Beneficiaries Identified With Depression 0.15
Percent (%) of Beneficiaries Identified With Diabetes 0.19
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.49
Percent (%) of Beneficiaries Identified With Hypertension 0.52
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.3
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.38
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.03
Average HCC Risk Score of Beneficiaries 0.8344

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 Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 349
Number of Standardized 30-Day Fills 658.43333333
Aggregate Cost Paid for All Claims 13892.18
Number of Day's Supply for All Claims 17074
Number of Medicare Beneficiaries 110
Number of Claims, Including Refills, for Beneficiaries Age 65+ 328
Including Refills, for Beneficiaries Age 65+ 621.43333333
Beneficiaries Age 65+ 13390.3
Number of Day's Supply for All Claims for Beneficaries Age 65+ 16163
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 297
Aggregate Cost Paid for Generic Drugs 4946.85
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 72
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 3745.98
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 277
Aggregate Cost Paid for Claims Filled by 10146.2
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 45
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 2524.89
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 304
by Low-Income Subsidy 11367.29
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 51
Aggregate Cost Paid for Antibiotic Drugs 602.69
Antibiotic Claims 39
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 73.354545455
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 87
Number of Male Beneficiaries 23
Number of Non-Hispanic White 87
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 11
Only Entitlement 99
Average Hierarchical Condition Category 0.8063181818

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