Medicare Facts for Dr. James L. Clause, MD


National Provider Identifier [NPI]: 1225086960
Last Name Of The Provider CLAUSE
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 206 E SAINT PETER ST
Street Address 2 Of The Provider
City Of The Provider CARENCRO
Zip Code Of The Provider 705204009
State Code Of The Provider LA
Country Code Of The Provider US
Provider Type Of The Provider General Practice
Medicare Participation Indicator Y
Number Of HCPCS 30
Number Of Services 1007
Number Of Medicare Beneficiaries 307
Total Submitted Charge Amount 55750
Total Medicare Allowed Amount 41108.29
Total Medicare Payment Amount 26778
Total Medicare Standardized Payment Amount 29962.23
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 138
Number Of Medicare Beneficiaries With Drug Services 115
Total Drug Submitted ChargeAmount 4015
Total Drug Medicare AllowedAmount 1000.31
Total Drug Medicare PaymentAmount 748.38
Total Drug Medicare Standardized Payment Amount 748.38
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 869
Number Of Medicare Beneficiaries With Medical Services 307
Total Medical Submitted Charge Amount 51735
Total Medical Medicare Allowed Amount 40107.98
Total Medical Medicare Payment Amount 26029.62
Total Medical Medicare Standardized Payment Amount 29213.85
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 137
Number Of Beneficiaries Age 75 to 84 103
Number Of Beneficiaries Age Greater 84 41
Number Of Female Beneficiaries 170
Number Of Male Beneficiaries 137
Number Of Non Hispanic White Beneficiaries 258
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 262
Number Of Beneficiaries With Medicare Medicaid Entitlement 45
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma
Percent Of With Cancer 7
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 10
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 45
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8747

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