Medicare Facts for Dr. James L. Heaton, MD


National Provider Identifier [NPI]: 1225061120
Last Name Of The Provider HEATON
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 637 DEEP SOUTH FARM RD
Street Address 2 Of The Provider
City Of The Provider BLAIRSVILLE
Zip Code Of The Provider 305122276
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 40
Number Of Services 3267
Number Of Medicare Beneficiaries 711
Total Submitted Charge Amount 557438.26
Total Medicare Allowed Amount 293607.22
Total Medicare Payment Amount 211384.26
Total Medicare Standardized Payment Amount 225161.17
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 22
Number Of Medicare Beneficiaries With Drug Services 20
Total Drug Submitted ChargeAmount 695
Total Drug Medicare AllowedAmount 148.06
Total Drug Medicare PaymentAmount 135
Total Drug Medicare Standardized Payment Amount 135
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 36
Number Of Medical Services 3245
Number Of Medicare Beneficiaries With Medical Services 711
Total Medical Submitted Charge Amount 556743.26
Total Medical Medicare Allowed Amount 293459.16
Total Medical Medicare Payment Amount 211249.26
Total Medical Medicare Standardized Payment Amount 225026.17
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 83
Number Of Beneficiaries Age 65 to 74 286
Number Of Beneficiaries Age 75 to 84 227
Number Of Beneficiaries Age Greater 84 115
Number Of Female Beneficiaries 375
Number Of Male Beneficiaries 336
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 557
Number Of Beneficiaries With Medicare Medicaid Entitlement 154
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 4
Percent Of With Cancer 10
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 16
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.1962

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