Medicare Facts for Dr. Helen A. James, MD


National Provider Identifier [NPI]: 1720258718
Last Name Of The Provider JAMES
First Name Of The Provider HELEN
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3001 SQUALICUM PKWY
Street Address 2 Of The Provider STE 5
City Of The Provider BELLINGHAM
Zip Code Of The Provider 982251949
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Plastic and Reconstructive Surgery
Medicare Participation Indicator Y
Number Of HCPCS 76
Number Of Services 878
Number Of Medicare Beneficiaries 122
Total Submitted Charge Amount 211368.45
Total Medicare Allowed Amount 74178.81
Total Medicare Payment Amount 56353.82
Total Medicare Standardized Payment Amount 52023.68
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 550
Number Of Medicare Beneficiaries With Drug Services 27
Total Drug Submitted ChargeAmount 597.45
Total Drug Medicare AllowedAmount 477.64
Total Drug Medicare PaymentAmount 356.84
Total Drug Medicare Standardized Payment Amount 356.84
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 74
Number Of Medical Services 328
Number Of Medicare Beneficiaries With Medical Services 122
Total Medical Submitted Charge Amount 210771
Total Medical Medicare Allowed Amount 73701.17
Total Medical Medicare Payment Amount 55996.98
Total Medical Medicare Standardized Payment Amount 51666.84
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 20
Number Of Beneficiaries Age 65 to 74 49
Number Of Beneficiaries Age 75 to 84 41
Number Of Beneficiaries Age Greater 84 12
Number Of Female Beneficiaries 85
Number Of Male Beneficiaries 37
Number Of Non Hispanic White Beneficiaries 110
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 99
Number Of Beneficiaries With Medicare Medicaid Entitlement 23
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 10
Percent Of With Cancer 9
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 22
Percent Of With Diabetes 20
Percent Of With Hyperlipidemia 49
Percent Of With Hypertension 52
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3619

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