Medicare Facts for Dr. James E. Splichal, MD


National Provider Identifier [NPI]: 1588619142
Last Name Of The Provider SPLICHAL
First Name Of The Provider JAMES
Middle Initial Of The Provider E
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3320 OLD JEFFERSON RD
Street Address 2 Of The Provider BLDG. 700
City Of The Provider ATHENS
Zip Code Of The Provider 306071400
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 134
Number Of Services 127666
Number Of Medicare Beneficiaries 1071
Total Submitted Charge Amount 6870167.16
Total Medicare Allowed Amount 2330641.58
Total Medicare Payment Amount 1824306.65
Total Medicare Standardized Payment Amount 1839261.85
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 68
Number Of Drug Services 108443
Number Of Medicare Beneficiaries With Drug Services 379
Total Drug Submitted ChargeAmount 5112728.3
Total Drug Medicare AllowedAmount 1705473.62
Total Drug Medicare PaymentAmount 1333389.71
Total Drug Medicare Standardized Payment Amount 1333389.71
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 66
Number Of Medical Services 19223
Number Of Medicare Beneficiaries With Medical Services 1070
Total Medical Submitted Charge Amount 1757438.86
Total Medical Medicare Allowed Amount 625167.96
Total Medical Medicare Payment Amount 490916.94
Total Medical Medicare Standardized Payment Amount 505872.14
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 120
Number Of Beneficiaries Age 65 to 74 486
Number Of Beneficiaries Age 75 to 84 341
Number Of Beneficiaries Age Greater 84 124
Number Of Female Beneficiaries 646
Number Of Male Beneficiaries 425
Number Of Non Hispanic White Beneficiaries 918
Number Of Black or African American Beneficiaries 132
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 835
Number Of Beneficiaries With Medicare Medicaid Entitlement 236
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 6
Percent Of With Cancer 44
Percent Of With Heart Failure 23
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 22
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.8645

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