Medicare Facts for Dr. James K. Royal, MD


National Provider Identifier [NPI]: 1790872174
Last Name Of The Provider ROYAL
First Name Of The Provider JAMES
Middle Initial Of The Provider K
Credentials Of The Provider DR.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 121 N 20TH ST
Street Address 2 Of The Provider #6
City Of The Provider OPELIKA
Zip Code Of The Provider 368015449
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 74
Number Of Services 4031
Number Of Medicare Beneficiaries 815
Total Submitted Charge Amount 264274.96
Total Medicare Allowed Amount 229877.64
Total Medicare Payment Amount 152138.73
Total Medicare Standardized Payment Amount 168121.87
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 1202
Number Of Medicare Beneficiaries With Drug Services 309
Total Drug Submitted ChargeAmount 18208
Total Drug Medicare AllowedAmount 12563.25
Total Drug Medicare PaymentAmount 10541.08
Total Drug Medicare Standardized Payment Amount 10541.08
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 62
Number Of Medical Services 2829
Number Of Medicare Beneficiaries With Medical Services 815
Total Medical Submitted Charge Amount 246066.96
Total Medical Medicare Allowed Amount 217314.39
Total Medical Medicare Payment Amount 141597.65
Total Medical Medicare Standardized Payment Amount 157580.79
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 79
Number Of Beneficiaries Age 65 to 74 340
Number Of Beneficiaries Age 75 to 84 277
Number Of Beneficiaries Age Greater 84 119
Number Of Female Beneficiaries 431
Number Of Male Beneficiaries 384
Number Of Non Hispanic White Beneficiaries 645
Number Of Black or African American Beneficiaries 159
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 724
Number Of Beneficiaries With Medicare Medicaid Entitlement 91
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 3
Percent Of With Cancer 11
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 6
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.9856

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