Medicare Facts for Dr. Brian R. James, MD


National Provider Identifier [NPI]: 1932356110
Last Name Of The Provider JAMES
First Name Of The Provider BRIAN
Middle Initial Of The Provider R
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1201 SOMERVILLE RD SE
Street Address 2 Of The Provider
City Of The Provider DECATUR
Zip Code Of The Provider 356014340
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 38
Number Of Services 4127
Number Of Medicare Beneficiaries 274
Total Submitted Charge Amount 228215
Total Medicare Allowed Amount 161618.13
Total Medicare Payment Amount 127993.15
Total Medicare Standardized Payment Amount 135709.53
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 58
Number Of Medicare Beneficiaries With Drug Services 12
Total Drug Submitted ChargeAmount 318
Total Drug Medicare AllowedAmount 219.95
Total Drug Medicare PaymentAmount 121.81
Total Drug Medicare Standardized Payment Amount 121.81
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 36
Number Of Medical Services 4069
Number Of Medicare Beneficiaries With Medical Services 274
Total Medical Submitted Charge Amount 227897
Total Medical Medicare Allowed Amount 161398.18
Total Medical Medicare Payment Amount 127871.34
Total Medical Medicare Standardized Payment Amount 135587.72
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 140
Number Of Beneficiaries Age 75 to 84 88
Number Of Beneficiaries Age Greater 84 30
Number Of Female Beneficiaries 154
Number Of Male Beneficiaries 120
Number Of Non Hispanic White Beneficiaries 261
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 5
Percent Of With Cancer 10
Percent Of With Heart Failure 7
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 7
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8709

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