Medicare Facts for Dr. James A. Helgager, MD


National Provider Identifier [NPI]: 1316907413
Last Name Of The Provider HELGAGER
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 3905 WARING RD
Street Address 2 Of The Provider
City Of The Provider OCEANSIDE
Zip Code Of The Provider 920564405
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 70
Number Of Services 3259
Number Of Medicare Beneficiaries 379
Total Submitted Charge Amount 571057.5
Total Medicare Allowed Amount 226719.28
Total Medicare Payment Amount 171234.55
Total Medicare Standardized Payment Amount 169182.18
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 1795
Number Of Medicare Beneficiaries With Drug Services 87
Total Drug Submitted ChargeAmount 34841.5
Total Drug Medicare AllowedAmount 23009.31
Total Drug Medicare PaymentAmount 17936.89
Total Drug Medicare Standardized Payment Amount 17936.89
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 66
Number Of Medical Services 1464
Number Of Medicare Beneficiaries With Medical Services 379
Total Medical Submitted Charge Amount 536216
Total Medical Medicare Allowed Amount 203709.97
Total Medical Medicare Payment Amount 153297.66
Total Medical Medicare Standardized Payment Amount 151245.29
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 157
Number Of Beneficiaries Age 75 to 84 147
Number Of Beneficiaries Age Greater 84 52
Number Of Female Beneficiaries 245
Number Of Male Beneficiaries 134
Number Of Non Hispanic White Beneficiaries 328
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 15
Number Of Hispanic Beneficiaries 19
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 346
Number Of Beneficiaries With Medicare Medicaid Entitlement 33
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 4
Percent Of With Asthma 6
Percent Of With Cancer 11
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 16
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.0747

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