Medicare Facts for Dr. James C. Blackwell, MD


National Provider Identifier [NPI]: 1063410694
Last Name Of The Provider BLACKWELL
First Name Of The Provider JAMES
Middle Initial Of The Provider C
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1107 MEMORIAL DR
Street Address 2 Of The Provider SUITE 300
City Of The Provider DALTON
Zip Code Of The Provider 307208662
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 67
Number Of Services 5420
Number Of Medicare Beneficiaries 964
Total Submitted Charge Amount 342202
Total Medicare Allowed Amount 181301.89
Total Medicare Payment Amount 122987.56
Total Medicare Standardized Payment Amount 122240.83
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 1171
Number Of Medicare Beneficiaries With Drug Services 117
Total Drug Submitted ChargeAmount 11548
Total Drug Medicare AllowedAmount 1300.41
Total Drug Medicare PaymentAmount 744.82
Total Drug Medicare Standardized Payment Amount 744.82
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 59
Number Of Medical Services 4249
Number Of Medicare Beneficiaries With Medical Services 964
Total Medical Submitted Charge Amount 330654
Total Medical Medicare Allowed Amount 180001.48
Total Medical Medicare Payment Amount 122242.74
Total Medical Medicare Standardized Payment Amount 121496.01
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 142
Number Of Beneficiaries Age 65 to 74 345
Number Of Beneficiaries Age 75 to 84 312
Number Of Beneficiaries Age Greater 84 165
Number Of Female Beneficiaries 580
Number Of Male Beneficiaries 384
Number Of Non Hispanic White Beneficiaries 915
Number Of Black or African American Beneficiaries 29
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 722
Number Of Beneficiaries With Medicare Medicaid Entitlement 242
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 20
Percent Of With Asthma 6
Percent Of With Cancer 11
Percent Of With Heart Failure 31
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 29
Percent Of With Depression 22
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 1.4849

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