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Tracie Dalene Updike

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NPI Number Detailed Information

Provider Information:

Name: Tracie Dalene Updike
Gender: F
Provider License Number If Given: J4577

NPI Information:

NPI: 1629070750
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/1/2005

Last Update Date: 7/12/2007

Reputation Report:

Provider Business Mailing Address:

Address: 2933 PARK PLAZA LN
Port Arthur, TX 77642
Phone Number: 4099831899
Fax Number: 4099835225

Provider Business Practice Location Address:

Address: 2933 PARK PLAZA LN
Port Arthur, TX 77642
Phone Number: 4099831899
Fax Number: 4099835225

Provider Taxonomy:

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

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About Tracie Dalene Updike

Tracie Dalene Updike ( TRACIE DALENE UPDIKE ) is Family Family Medicine Physician in Port Arthur, TX. The NPI Number for Tracie Dalene Updike is 1629070750.
The current location address for Tracie Dalene Updike is 2933 PARK PLAZA LN Port Arthur, TX 77642 and the contact number is 4099831899 and fax number is 4099835225. The mailing address for Tracie Dalene Updike is 2933 PARK PLAZA LN Port Arthur, TX 77642- 4099831899 (mailing address contact number - 4099831899).
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 Tracie Dalene Updike ?


Answer: The NPI Number for Tracie Dalene Updike is 1629070750

Where is Tracie Dalene Updike located?


Answer: Tracie Dalene Updike is located at 2933 PARK PLAZA LN Port Arthur, TX 77642.

What is the specialty for Tracie Dalene Updike ?


Answer: The Specialty of Tracie Dalene Updike is Family Family Medicine Physician.

Are there any online reviews for Tracie Dalene Updike ?


Answer: Yes! Check It Now.

Are there any other health care providers in Port Arthur, TX?


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 Tracie Dalene Updike

Number of HCPCS 7
Number of Medicare Beneficiaries 30
Number of Services 91
Total Submitted Charge Amount 14290
Total Medicare Allowed Amount 9761.93
Total Medicare Payment Amount 7025.71
Total Medicare Standardized Payment Amount 7169.63
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 30
Number of Medical Services 91
Total Medical Submitted Charge Amount 14290
Total Medical Medicare Allowed Amount 9761.93
Total Medical Medicare Payment Amount 7025.71
Total Medical Medicare Standardized Payment Amount 7169.63
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 11
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 0
Percent (%) of Beneficiaries Identified With Asthma 0
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.53
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.4
Percent (%) of Beneficiaries Identified With Diabetes 0.47
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.63
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.37
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.4
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.0789

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 3472
Number of Standardized 30-Day Fills 8859.8333333
Aggregate Cost Paid for All Claims 250142.97
Number of Day's Supply for All Claims 261702
Number of Medicare Beneficiaries 263
Number of Claims, Including Refills, for Beneficiaries Age 65+ 2873
Including Refills, for Beneficiaries Age 65+ 7577.4333333
Beneficiaries Age 65+ 134787.38
Number of Day's Supply for All Claims for Beneficaries Age 65+ 224412
Number of Medicare Beneficiaries Age 65+ 222
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 345
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 3108
Aggregate Cost Paid for Generic Drugs 77248.23
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 19
Aggregate Cost Paid for Other Drugs 1108.22
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 2922
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 228517.9
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 550
Aggregate Cost Paid for Claims Filled by 21625.07
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1110
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 155826.9
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 2362
by Low-Income Subsidy 94316.07
Total Claims of Opioid Drugs, Including 21
Aggregate Cost Paid for Opioid Drugs 496.91
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 0.6048387097
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
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 83
Aggregate Cost Paid for Antibiotic Drugs 688.16
Antibiotic Claims 54
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 72.16730038
Number of Beneficiaries Age Less Than 65 41
Number of Beneficiaries Age 65 to 74 128
Number of Beneficiaries Age 75 to 84 56
Number of Female Beneficiaries 195
Number of Male Beneficiaries 68
Number of Non-Hispanic White 133
Number of Black or African American 112
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 14
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 202
Average Hierarchical Condition Category 1.2509567878

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