Medicare Facts for Dr. James A. Higgins, DO


National Provider Identifier [NPI]: 1083708697
Last Name Of The Provider HIGGINS
First Name Of The Provider JAMES
Middle Initial Of The Provider A
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 11 CARLETON AVE
Street Address 2 Of The Provider
City Of The Provider EAST ISLIP
Zip Code Of The Provider 117302108
State Code Of The Provider NY
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 43
Number Of Services 1836
Number Of Medicare Beneficiaries 275
Total Submitted Charge Amount 416049.01
Total Medicare Allowed Amount 162427.53
Total Medicare Payment Amount 119823.21
Total Medicare Standardized Payment Amount 106544.84
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 70
Number Of Medicare Beneficiaries With Drug Services 62
Total Drug Submitted ChargeAmount 2746.33
Total Drug Medicare AllowedAmount 1201.39
Total Drug Medicare PaymentAmount 1177.12
Total Drug Medicare Standardized Payment Amount 1177.12
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 38
Number Of Medical Services 1766
Number Of Medicare Beneficiaries With Medical Services 275
Total Medical Submitted Charge Amount 413302.68
Total Medical Medicare Allowed Amount 161226.14
Total Medical Medicare Payment Amount 118646.09
Total Medical Medicare Standardized Payment Amount 105367.72
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 39
Number Of Beneficiaries Age 65 to 74 64
Number Of Beneficiaries Age 75 to 84 84
Number Of Beneficiaries Age Greater 84 88
Number Of Female Beneficiaries 163
Number Of Male Beneficiaries 112
Number Of Non Hispanic White Beneficiaries 235
Number Of Black or African American Beneficiaries 18
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 245
Number Of Beneficiaries With Medicare Medicaid Entitlement 30
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 33
Percent Of With Asthma 7
Percent Of With Cancer 10
Percent Of With Heart Failure 29
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 27
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 58
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.7044

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