Medicare Facts for Dr. James K. Ushiba, MD


National Provider Identifier [NPI]: 1801846431
Last Name Of The Provider USHIBA
First Name Of The Provider JAMES
Middle Initial Of The Provider K
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 611 ABBOTT ST STE 101
Street Address 2 Of The Provider
City Of The Provider SALINAS
Zip Code Of The Provider 939014314
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 147
Number Of Services 1504
Number Of Medicare Beneficiaries 369
Total Submitted Charge Amount 532261.7
Total Medicare Allowed Amount 160126.31
Total Medicare Payment Amount 118401.73
Total Medicare Standardized Payment Amount 117513
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 50
Number Of Medicare Beneficiaries With Drug Services 39
Total Drug Submitted ChargeAmount 2278
Total Drug Medicare AllowedAmount 669.93
Total Drug Medicare PaymentAmount 524.03
Total Drug Medicare Standardized Payment Amount 524.03
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 143
Number Of Medical Services 1454
Number Of Medicare Beneficiaries With Medical Services 369
Total Medical Submitted Charge Amount 529983.7
Total Medical Medicare Allowed Amount 159456.38
Total Medical Medicare Payment Amount 117877.7
Total Medical Medicare Standardized Payment Amount 116988.97
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 69
Number Of Beneficiaries Age 65 to 74 157
Number Of Beneficiaries Age 75 to 84 88
Number Of Beneficiaries Age Greater 84 55
Number Of Female Beneficiaries 247
Number Of Male Beneficiaries 122
Number Of Non Hispanic White Beneficiaries 195
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 148
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 244
Number Of Beneficiaries With Medicare Medicaid Entitlement 125
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 8
Percent Of With Cancer 7
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 23
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 51
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.3684

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