Medicare Facts for Dr. James G. Pyle, MD


National Provider Identifier [NPI]: 1255329686
Last Name Of The Provider PYLE
First Name Of The Provider JAMES
Middle Initial Of The Provider G
Credentials Of The Provider
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4201 GARTH RD
Street Address 2 Of The Provider SUITE 107
City Of The Provider BAYTOWN
Zip Code Of The Provider 775213167
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 80
Number Of Services 2531
Number Of Medicare Beneficiaries 389
Total Submitted Charge Amount 810296
Total Medicare Allowed Amount 185163.77
Total Medicare Payment Amount 136527.19
Total Medicare Standardized Payment Amount 137364.43
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 803
Number Of Medicare Beneficiaries With Drug Services 138
Total Drug Submitted ChargeAmount 25909
Total Drug Medicare AllowedAmount 8151.74
Total Drug Medicare PaymentAmount 6289.18
Total Drug Medicare Standardized Payment Amount 6289.18
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 76
Number Of Medical Services 1728
Number Of Medicare Beneficiaries With Medical Services 389
Total Medical Submitted Charge Amount 784387
Total Medical Medicare Allowed Amount 177012.03
Total Medical Medicare Payment Amount 130238.01
Total Medical Medicare Standardized Payment Amount 131075.25
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 44
Number Of Beneficiaries Age 65 to 74 150
Number Of Beneficiaries Age 75 to 84 124
Number Of Beneficiaries Age Greater 84 71
Number Of Female Beneficiaries 264
Number Of Male Beneficiaries 125
Number Of Non Hispanic White Beneficiaries 317
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 40
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 328
Number Of Beneficiaries With Medicare Medicaid Entitlement 61
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 8
Percent Of With Cancer 11
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 27
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 46
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 65
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 1.5618

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