Victory Clinical Services Ii Llc

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NPI Number Detailed Information

Provider Information:

Name:	Victory Clinical Services Ii Llc
Gender:
Provider License Number If Given:	20010221A

NPI Information:

NPI:	1497798284
Entity Type (Individual or Organization):	2-org
Enumeration Date:	6/13/2006
Last Update Date:	3/22/2012

Provider Business Mailing Address:

Address:	4218 W WESTERN AVE South Bend, IN 46619
Phone Number:	5742331524
Fax Number:	5742331612

Provider Business Practice Location Address:

Address:	4218 W WESTERN AVE South Bend, IN 46619
Phone Number:	5742331524
Fax Number:	5742331612

Provider Taxonomy:

Primary:	103TH0100X
Secondary (if any):	363L00000X
State:	IN

Top Doctors in IN

About Victory Clinical Services Ii Llc

Victory Clinical Services Ii Llc ( VICTORY CLINICAL SERVICES II LLC ) is A Psychologist Provider in South Bend, IN. The NPI Number for Victory Clinical Services Ii Llc is 1497798284.

The current location address for Victory Clinical Services Ii Llc is 4218 W WESTERN AVE South Bend, IN 46619 and the contact number is 5742331524 and fax number is 5742331612. The mailing address for Victory Clinical Services Ii Llc is 4218 W WESTERN AVE South Bend, IN 46619- 5742331524 (mailing address contact number - 5742331524).

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

Provider Business Location on Map

FAQs:

What is the NPI Number for Victory Clinical Services Ii Llc ?

Answer: The NPI Number for Victory Clinical Services Ii Llc is 1497798284

Where is Victory Clinical Services Ii Llc located?

Answer: Victory Clinical Services Ii Llc is located at 4218 W WESTERN AVE South Bend, IN 46619.

What is the specialty for Victory Clinical Services Ii Llc ?

Answer: The Specialty of Victory Clinical Services Ii Llc is A Psychologist Provider.

Are there any online reviews for Victory Clinical Services Ii Llc ?

Answer: Not yet!

Are there any other health care providers in South Bend, IN?

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 Victory Clinical Services Ii Llc

Number of HCPCS	3
Number of Medicare Beneficiaries	15
Number of Services	571
Total Submitted Charge Amount	95460.48
Total Medicare Allowed Amount	95460.48
Total Medicare Payment Amount	93134.5
Total Medicare Standardized Payment Amount	91272.15
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	3
Number of Medicare Beneficiaries With Medical	15
Number of Medical Services	571
Total Medical Submitted Charge Amount	95460.48
Total Medical Medicare Allowed Amount	95460.48
Total Medical Medicare Payment Amount	93134.5
Total Medical Medicare Standardized Payment Amount	91272.15
Average Age of Beneficiaries	57
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84	0
Number of Beneficiaries Age Greater 84	0
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	0
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
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
Percent (%) of Beneficiaries Identified With Hypertension
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	0
Average HCC Risk Score of Beneficiaries	1.4547

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