Medicare Facts for Dr. James L. Baker, MD


National Provider Identifier [NPI]: 1477530301
Last Name Of The Provider BAKER
First Name Of The Provider JAMES
Middle Initial Of The Provider L
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 439 SEWELL DR
Street Address 2 Of The Provider
City Of The Provider SPARTA
Zip Code Of The Provider 385831223
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 31
Number Of Services 11964
Number Of Medicare Beneficiaries 260
Total Submitted Charge Amount 355310
Total Medicare Allowed Amount 258614
Total Medicare Payment Amount 197048.26
Total Medicare Standardized Payment Amount 203533.66
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 11211
Number Of Medicare Beneficiaries With Drug Services 37
Total Drug Submitted ChargeAmount 215827
Total Drug Medicare AllowedAmount 186806.27
Total Drug Medicare PaymentAmount 146317.69
Total Drug Medicare Standardized Payment Amount 146317.69
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 19
Number Of Medical Services 753
Number Of Medicare Beneficiaries With Medical Services 260
Total Medical Submitted Charge Amount 139483
Total Medical Medicare Allowed Amount 71807.73
Total Medical Medicare Payment Amount 50730.57
Total Medical Medicare Standardized Payment Amount 57215.97
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 78
Number Of Beneficiaries Age 65 to 74 111
Number Of Beneficiaries Age 75 to 84 53
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 189
Number Of Male Beneficiaries 71
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
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 208
Number Of Beneficiaries With Medicare Medicaid Entitlement 52
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 10
Percent Of With Cancer
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 31
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 45
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1907

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