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Susan M Dreiss-Carroll

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NPI Number Detailed Information

Provider Information:

Name: Susan M Dreiss-Carroll
Gender: F
Provider License Number If Given: 25MP00303300

NPI Information:

NPI: 1740288398
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/8/2005

Last Update Date: 1/25/2018

Provider Business Mailing Address:

Address: 12 MALLORY LN
Tappan, NY 10983
Phone Number: 8456137658
Fax Number:

Provider Business Practice Location Address:

Address: 5A MEDICAL PARK DR
Pomona, NY 10970
Phone Number: 8453620075
Fax Number:

Provider Taxonomy:

Primary: 363AM0700X
Secondary (if any): 363AM0700X
State: NY

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About Susan M Dreiss-Carroll

Susan M Dreiss-Carroll ( SUSAN M DREISS-CARROLL ) is Definition Physician Assistant Physician in Pomona, NY. The NPI Number for Susan M Dreiss-Carroll is 1740288398.
The current location address for Susan M Dreiss-Carroll is 5A MEDICAL PARK DR Pomona, NY 10970 and the contact number is 8456137658 and fax number is . The mailing address for Susan M Dreiss-Carroll is 12 MALLORY LN Tappan, NY 10983- 8453620075 (mailing address contact number - 8456137658).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Susan M Dreiss-Carroll ?


Answer: The NPI Number for Susan M Dreiss-Carroll is 1740288398

Where is Susan M Dreiss-Carroll located?


Answer: Susan M Dreiss-Carroll is located at 5A MEDICAL PARK DR Pomona, NY 10970.

What is the specialty for Susan M Dreiss-Carroll ?


Answer: The Specialty of Susan M Dreiss-Carroll is Definition Physician Assistant Physician.

Are there any online reviews for Susan M Dreiss-Carroll ?


Answer: Not yet!

Are there any other health care providers in Pomona, NY?


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 Susan M Dreiss-Carroll

Number of HCPCS 7
Number of Medicare Beneficiaries 15
Number of Services 26
Total Submitted Charge Amount 5843
Total Medicare Allowed Amount 1521.17
Total Medicare Payment Amount 1220.81
Total Medicare Standardized Payment Amount 1062.06
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 7
Number of Medicare Beneficiaries With Medical 15
Number of Medical Services 26
Total Medical Submitted Charge Amount 5843
Total Medical Medicare Allowed Amount 1521.17
Total Medical Medicare Payment Amount 1220.81
Total Medical Medicare Standardized Payment Amount 1062.06
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.73
Percent (%) of Beneficiaries Identified With Hypertension 0.73
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 2.204

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 15
Number of Standardized 30-Day Fills 15.233333333
Aggregate Cost Paid for All Claims 1462.9
Number of Day's Supply for All Claims 262
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+ 15
Including Refills, for Beneficiaries Age 65+ 15.233333333
Beneficiaries Age 65+ 1462.9
Number of Day's Supply for All Claims for Beneficaries Age 65+ 262
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 13
Aggregate Cost Paid for Generic Drugs 156.71
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
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
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
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
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 81.2
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 3.279005686

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Susan M Dreiss-Carroll in Other Directories

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