Medicare Facts for Dr. James Downing, MD


National Provider Identifier [NPI]: 1225019714
Last Name Of The Provider DOWNING
First Name Of The Provider JAMES
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2401 COLUMBUS BLVD
Street Address 2 Of The Provider
City Of The Provider KOKOMO
Zip Code Of The Provider 469016455
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 35
Number Of Services 5825
Number Of Medicare Beneficiaries 920
Total Submitted Charge Amount 767557
Total Medicare Allowed Amount 343352.75
Total Medicare Payment Amount 264791.01
Total Medicare Standardized Payment Amount 278305.05
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 860
Number Of Medicare Beneficiaries With Drug Services 43
Total Drug Submitted ChargeAmount 29108
Total Drug Medicare AllowedAmount 23373.57
Total Drug Medicare PaymentAmount 18634.13
Total Drug Medicare Standardized Payment Amount 18634.13
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 32
Number Of Medical Services 4965
Number Of Medicare Beneficiaries With Medical Services 920
Total Medical Submitted Charge Amount 738449
Total Medical Medicare Allowed Amount 319979.18
Total Medical Medicare Payment Amount 246156.88
Total Medical Medicare Standardized Payment Amount 259670.92
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 244
Number Of Beneficiaries Age 65 to 74 342
Number Of Beneficiaries Age 75 to 84 253
Number Of Beneficiaries Age Greater 84 81
Number Of Female Beneficiaries 515
Number Of Male Beneficiaries 405
Number Of Non Hispanic White Beneficiaries 860
Number Of Black or African American Beneficiaries 39
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 651
Number Of Beneficiaries With Medicare Medicaid Entitlement 269
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 36
Percent Of With Cancer 14
Percent Of With Heart Failure 43
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 70
Percent Of With Depression 33
Percent Of With Diabetes 44
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 55
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.9944

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