Medicare Facts for Dr. James D. Railey, MD


National Provider Identifier [NPI]: 1760446579
Last Name Of The Provider RAILEY
First Name Of The Provider JAMES
Middle Initial Of The Provider D
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 825 BARRET AVE
Street Address 2 Of The Provider
City Of The Provider LOUISVILLE
Zip Code Of The Provider 402041743
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 76
Number Of Services 2511
Number Of Medicare Beneficiaries 226
Total Submitted Charge Amount 146934
Total Medicare Allowed Amount 94422.51
Total Medicare Payment Amount 63674.3
Total Medicare Standardized Payment Amount 73389.58
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 133
Number Of Medicare Beneficiaries With Drug Services 89
Total Drug Submitted ChargeAmount 6615
Total Drug Medicare AllowedAmount 3985.62
Total Drug Medicare PaymentAmount 3725.01
Total Drug Medicare Standardized Payment Amount 3725.01
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 64
Number Of Medical Services 2378
Number Of Medicare Beneficiaries With Medical Services 226
Total Medical Submitted Charge Amount 140319
Total Medical Medicare Allowed Amount 90436.89
Total Medical Medicare Payment Amount 59949.29
Total Medical Medicare Standardized Payment Amount 69664.57
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 64
Number Of Beneficiaries Age 65 to 74 100
Number Of Beneficiaries Age 75 to 84 42
Number Of Beneficiaries Age Greater 84 20
Number Of Female Beneficiaries 116
Number Of Male Beneficiaries 110
Number Of Non Hispanic White Beneficiaries 116
Number Of Black or African American Beneficiaries
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 189
Number Of Beneficiaries With Medicare Medicaid Entitlement 37
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 8
Percent Of With Cancer 15
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 15
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.2378

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