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Dr. Thaddeus Earl Wilson

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NPI Number Detailed Information

Provider Information:

Name: Dr. Thaddeus Earl Wilson
Gender: M
Provider License Number If Given: A102261

NPI Information:

NPI: 1184839896
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/14/2007

Last Update Date: 8/15/2014

Reputation Report:

Provider Business Mailing Address:

Address: 11406 LOMA LINDA DRIVE PHYSICAL MEDICINE AND REHABILITATION
Loma Linda, CA 92354
Phone Number: 9095586275
Fax Number: 9095586212

Provider Business Practice Location Address:

Address: 11406 LOMA LINDA DR PHYSICAL MEDICINE AND REHABILITATION
Loma Linda, CA 92354
Phone Number: 9095586275
Fax Number: 9095586212

Provider Taxonomy:

Primary: 2081P0010X
Secondary (if any):
State: CA

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About Dr. Thaddeus Earl Wilson

Dr. Thaddeus Earl Wilson (DR. THADDEUS EARL WILSON ) is A Physical Medicine & Rehabilitation Physician in Loma Linda, CA. The NPI Number for Dr. Thaddeus Earl Wilson is 1184839896.
The current location address for Dr. Thaddeus Earl Wilson is 11406 LOMA LINDA DR PHYSICAL MEDICINE AND REHABILITATION Loma Linda, CA 92354 and the contact number is 9095586275 and fax number is 9095586212. The mailing address for Dr. Thaddeus Earl Wilson is 11406 LOMA LINDA DRIVE PHYSICAL MEDICINE AND REHABILITATION Loma Linda, CA 92354- 9095586275 (mailing address contact number - 9095586275).
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Thaddeus Earl Wilson ?


Answer: The NPI Number for Dr. Thaddeus Earl Wilson is 1184839896

Where is Dr. Thaddeus Earl Wilson located?


Answer: Dr. Thaddeus Earl Wilson is located at 11406 LOMA LINDA DR PHYSICAL MEDICINE AND REHABILITATION Loma Linda, CA 92354.

What is the specialty for Dr. Thaddeus Earl Wilson ?


Answer: The Specialty of Dr. Thaddeus Earl Wilson is A Physical Medicine & Rehabilitation Physician.

Are there any online reviews for Dr. Thaddeus Earl Wilson ?


Answer: Yes! Check It Now.

Are there any other health care providers in Loma Linda, CA?


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. Thaddeus Earl Wilson

Number of HCPCS 17
Number of Medicare Beneficiaries 53
Number of Services 189
Total Submitted Charge Amount 61503
Total Medicare Allowed Amount 19480.38
Total Medicare Payment Amount 14870.92
Total Medicare Standardized Payment Amount 14181.07
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 60
Number of Beneficiaries Age Less 65 21
Number of Beneficiaries Age 65 to 74 16
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 27
Number of Male Beneficiaries 26
Number of Non-Hispanic White Beneficiaries 30
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 32
Number of Beneficiaries With Medicare Only Entitlement 21
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.26
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.34
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.49
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.47
Percent (%) of Beneficiaries Identified With Diabetes 0.42
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.66
Percent (%) of Beneficiaries Identified With Hypertension 0.7
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.49
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.36
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.38
Average HCC Risk Score of Beneficiaries 2.2668

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 Physical Medicine and Rehabilitation
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 120
Number of Standardized 30-Day Fills 154.13333333
Aggregate Cost Paid for All Claims 13358.44
Number of Day's Supply for All Claims 4582
Number of Medicare Beneficiaries 16
Number of Claims, Including Refills, for Beneficiaries Age 65+ 16
Including Refills, for Beneficiaries Age 65+ 16
Beneficiaries Age 65+ 116.95
Number of Day's Supply for All Claims for Beneficaries Age 65+ 460
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 114
Aggregate Cost Paid for Generic Drugs 5410.48
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 12
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1114.86
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 108
Aggregate Cost Paid for Claims Filled by 12243.58
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 120
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 13358.44
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 0
by Low-Income Subsidy 0
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
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
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
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 34.4375
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 0
Number of Beneficiaries with Race Not 0
Only Entitlement 0
Average Hierarchical Condition Category 1.5738125

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