Medicare Facts for Dr. James I. Sperber, MD


National Provider Identifier [NPI]: 1518922236
Last Name Of The Provider SPERBER
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 657 CAMINO DE LOS MARES
Street Address 2 Of The Provider SUITE 133
City Of The Provider SAN CLEMENTE
Zip Code Of The Provider 926732826
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 40
Number Of Services 1201
Number Of Medicare Beneficiaries 290
Total Submitted Charge Amount 200591
Total Medicare Allowed Amount 100172.9
Total Medicare Payment Amount 71224.1
Total Medicare Standardized Payment Amount 65105.4
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 108
Number Of Medicare Beneficiaries With Drug Services 94
Total Drug Submitted ChargeAmount 6100
Total Drug Medicare AllowedAmount 3118.24
Total Drug Medicare PaymentAmount 3055.6
Total Drug Medicare Standardized Payment Amount 3055.6
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 34
Number Of Medical Services 1093
Number Of Medicare Beneficiaries With Medical Services 290
Total Medical Submitted Charge Amount 194491
Total Medical Medicare Allowed Amount 97054.66
Total Medical Medicare Payment Amount 68168.5
Total Medical Medicare Standardized Payment Amount 62049.8
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 20
Number Of Beneficiaries Age 65 to 74 126
Number Of Beneficiaries Age 75 to 84 75
Number Of Beneficiaries Age Greater 84 69
Number Of Female Beneficiaries 140
Number Of Male Beneficiaries 150
Number Of Non Hispanic White Beneficiaries 262
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 11
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 274
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 5
Percent Of With Cancer 14
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 11
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.0683

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