Medicare Facts for Dr. James Kmetzo, MD


National Provider Identifier [NPI]: 1154362614
Last Name Of The Provider KMETZO
First Name Of The Provider JAMES
Middle Initial Of The Provider
Credentials Of The Provider M.D, FACC
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 315 W STATE ST
Street Address 2 Of The Provider
City Of The Provider DOYLESTOWN
Zip Code Of The Provider 189013525
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 54
Number Of Services 3314
Number Of Medicare Beneficiaries 1249
Total Submitted Charge Amount 491555
Total Medicare Allowed Amount 231875.91
Total Medicare Payment Amount 169919.6
Total Medicare Standardized Payment Amount 161279.94
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 54
Number Of Medical Services 3314
Number Of Medicare Beneficiaries With Medical Services 1249
Total Medical Submitted Charge Amount 491555
Total Medical Medicare Allowed Amount 231875.91
Total Medical Medicare Payment Amount 169919.6
Total Medical Medicare Standardized Payment Amount 161279.94
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 73
Number Of Beneficiaries Age 65 to 74 474
Number Of Beneficiaries Age 75 to 84 436
Number Of Beneficiaries Age Greater 84 266
Number Of Female Beneficiaries 584
Number Of Male Beneficiaries 665
Number Of Non Hispanic White Beneficiaries 1183
Number Of Black or African American Beneficiaries 18
Number Of AsianPacific Islander Beneficiaries 22
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1125
Number Of Beneficiaries With Medicare Medicaid Entitlement 124
Percent Of With Atrial Fibrillation 34
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 9
Percent Of With Cancer 13
Percent Of With Heart Failure 32
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 24
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 59
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 1.5432

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