Medicare Facts for Dr. James A. Nesper, MD


National Provider Identifier [NPI]: 1376548875
Last Name Of The Provider NESPER
First Name Of The Provider JAMES
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 841 HOSPITAL RD
Street Address 2 Of The Provider STE 2100
City Of The Provider INDIANA
Zip Code Of The Provider 157013635
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 52
Number Of Services 3037
Number Of Medicare Beneficiaries 652
Total Submitted Charge Amount 758260
Total Medicare Allowed Amount 347109.04
Total Medicare Payment Amount 261310.94
Total Medicare Standardized Payment Amount 267780.69
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 1004
Number Of Medicare Beneficiaries With Drug Services 38
Total Drug Submitted ChargeAmount 109260
Total Drug Medicare AllowedAmount 102112.57
Total Drug Medicare PaymentAmount 79952.65
Total Drug Medicare Standardized Payment Amount 79952.65
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 47
Number Of Medical Services 2033
Number Of Medicare Beneficiaries With Medical Services 652
Total Medical Submitted Charge Amount 649000
Total Medical Medicare Allowed Amount 244996.47
Total Medical Medicare Payment Amount 181358.29
Total Medical Medicare Standardized Payment Amount 187828.04
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 45
Number Of Beneficiaries Age 65 to 74 197
Number Of Beneficiaries Age 75 to 84 239
Number Of Beneficiaries Age Greater 84 171
Number Of Female Beneficiaries 406
Number Of Male Beneficiaries 246
Number Of Non Hispanic White Beneficiaries 636
Number Of Black or African American Beneficiaries
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 586
Number Of Beneficiaries With Medicare Medicaid Entitlement 66
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 6
Percent Of With Cancer 13
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 18
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.1866

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