Medicare Facts for Dr. James A. Wilson, MD


National Provider Identifier [NPI]: 1124091566
Last Name Of The Provider WILSON
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 1600 LAKELAND HILLS BLVD
Street Address 2 Of The Provider
City Of The Provider LAKELAND
Zip Code Of The Provider 33805
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 76
Number Of Services 3582
Number Of Medicare Beneficiaries 984
Total Submitted Charge Amount 502486.25
Total Medicare Allowed Amount 217510.58
Total Medicare Payment Amount 160852.73
Total Medicare Standardized Payment Amount 161426.64
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 156
Number Of Medicare Beneficiaries With Drug Services 21
Total Drug Submitted ChargeAmount 10540
Total Drug Medicare AllowedAmount 5346.83
Total Drug Medicare PaymentAmount 4131.17
Total Drug Medicare Standardized Payment Amount 4131.17
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 69
Number Of Medical Services 3426
Number Of Medicare Beneficiaries With Medical Services 983
Total Medical Submitted Charge Amount 491946.25
Total Medical Medicare Allowed Amount 212163.75
Total Medical Medicare Payment Amount 156721.56
Total Medical Medicare Standardized Payment Amount 157295.47
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 30
Number Of Beneficiaries Age 65 to 74 332
Number Of Beneficiaries Age 75 to 84 436
Number Of Beneficiaries Age Greater 84 186
Number Of Female Beneficiaries 217
Number Of Male Beneficiaries 767
Number Of Non Hispanic White Beneficiaries 918
Number Of Black or African American Beneficiaries 30
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 24
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 933
Number Of Beneficiaries With Medicare Medicaid Entitlement 51
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 6
Percent Of With Cancer 25
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 13
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 73
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 49
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.2311

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