Medicare Facts for Dr. James A. Hayes, MD


National Provider Identifier [NPI]: 1518075597
Last Name Of The Provider HAYES
First Name Of The Provider JAMES
Middle Initial Of The Provider A
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1200 CHESTER BLVD
Street Address 2 Of The Provider
City Of The Provider RICHMOND
Zip Code Of The Provider 47374
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 55
Number Of Services 5294
Number Of Medicare Beneficiaries 1009
Total Submitted Charge Amount 603261.13
Total Medicare Allowed Amount 312293.42
Total Medicare Payment Amount 219828.04
Total Medicare Standardized Payment Amount 233757.86
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 513
Number Of Medicare Beneficiaries With Drug Services 289
Total Drug Submitted ChargeAmount 10665
Total Drug Medicare AllowedAmount 5378.82
Total Drug Medicare PaymentAmount 5143.09
Total Drug Medicare Standardized Payment Amount 5143.09
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 46
Number Of Medical Services 4781
Number Of Medicare Beneficiaries With Medical Services 1009
Total Medical Submitted Charge Amount 592596.13
Total Medical Medicare Allowed Amount 306914.6
Total Medical Medicare Payment Amount 214684.95
Total Medical Medicare Standardized Payment Amount 228614.77
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 137
Number Of Beneficiaries Age 65 to 74 312
Number Of Beneficiaries Age 75 to 84 309
Number Of Beneficiaries Age Greater 84 251
Number Of Female Beneficiaries 560
Number Of Male Beneficiaries 449
Number Of Non Hispanic White Beneficiaries 950
Number Of Black or African American Beneficiaries 46
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 752
Number Of Beneficiaries With Medicare Medicaid Entitlement 257
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 18
Percent Of With Asthma 9
Percent Of With Cancer 12
Percent Of With Heart Failure 36
Percent Of With Chronic Kidney Disease 36
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 27
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 54
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.7059

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