Medicare Facts for Dr. James L. Bumgardner, MD


National Provider Identifier [NPI]: 1427024330
Last Name Of The Provider BUMGARDNER
First Name Of The Provider JAMES
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 711 LAWN AVE
Street Address 2 Of The Provider BLDG 3
City Of The Provider SELLERSVILLE
Zip Code Of The Provider 189601575
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 90
Number Of Services 6582
Number Of Medicare Beneficiaries 690
Total Submitted Charge Amount 778627.5
Total Medicare Allowed Amount 365180.72
Total Medicare Payment Amount 272296.59
Total Medicare Standardized Payment Amount 251466.58
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 4050
Number Of Medicare Beneficiaries With Drug Services 375
Total Drug Submitted ChargeAmount 149150
Total Drug Medicare AllowedAmount 79606.8
Total Drug Medicare PaymentAmount 61287.35
Total Drug Medicare Standardized Payment Amount 61287.35
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 84
Number Of Medical Services 2532
Number Of Medicare Beneficiaries With Medical Services 690
Total Medical Submitted Charge Amount 629477.5
Total Medical Medicare Allowed Amount 285573.92
Total Medical Medicare Payment Amount 211009.24
Total Medical Medicare Standardized Payment Amount 190179.23
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 48
Number Of Beneficiaries Age 65 to 74 331
Number Of Beneficiaries Age 75 to 84 213
Number Of Beneficiaries Age Greater 84 98
Number Of Female Beneficiaries 441
Number Of Male Beneficiaries 249
Number Of Non Hispanic White Beneficiaries 670
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 649
Number Of Beneficiaries With Medicare Medicaid Entitlement 41
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 7
Percent Of With Cancer 12
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 18
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.0286

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