Medicare Facts for Dr. James H. Guildford, MD


National Provider Identifier [NPI]: 1417967258
Last Name Of The Provider GUILDFORD
First Name Of The Provider JAMES
Middle Initial Of The Provider H
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1500 N DIXIE HWY
Street Address 2 Of The Provider SUITE 209
City Of The Provider WEST PALM BEACH
Zip Code Of The Provider 334012712
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 40
Number Of Services 14607
Number Of Medicare Beneficiaries 1251
Total Submitted Charge Amount 2140294.02
Total Medicare Allowed Amount 2111325.27
Total Medicare Payment Amount 1620564.88
Total Medicare Standardized Payment Amount 1594852.78
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 1493
Number Of Medicare Beneficiaries With Drug Services 155
Total Drug Submitted ChargeAmount 1051913.45
Total Drug Medicare AllowedAmount 1050052.55
Total Drug Medicare PaymentAmount 820697.32
Total Drug Medicare Standardized Payment Amount 820697.32
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 38
Number Of Medical Services 13114
Number Of Medicare Beneficiaries With Medical Services 1251
Total Medical Submitted Charge Amount 1088380.57
Total Medical Medicare Allowed Amount 1061272.72
Total Medical Medicare Payment Amount 799867.56
Total Medical Medicare Standardized Payment Amount 774155.46
Average Age Of Beneficiaries 80
Number Of Beneficiaries Age Less65 40
Number Of Beneficiaries Age 65 to 74 343
Number Of Beneficiaries Age 75 to 84 433
Number Of Beneficiaries Age Greater 84 435
Number Of Female Beneficiaries 719
Number Of Male Beneficiaries 532
Number Of Non Hispanic White Beneficiaries 1132
Number Of Black or African American Beneficiaries 58
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 39
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1190
Number Of Beneficiaries With Medicare Medicaid Entitlement 61
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 5
Percent Of With Cancer 13
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 17
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 70
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 47
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.4171

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