National Provider Identifier [NPI]: |
1891767968 |
Last Name Of The Provider |
MCANALLY |
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 |
842 E MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
975047134 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
196 |
Number Of Services |
8687.5 |
Number Of Medicare Beneficiaries |
3355 |
Total Submitted Charge Amount |
1364663.85 |
Total Medicare Allowed Amount |
368585.32 |
Total Medicare Payment Amount |
288525.89 |
Total Medicare Standardized Payment Amount |
294853.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3562.5 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
13843.04 |
Total Drug Medicare AllowedAmount |
1379.4 |
Total Drug Medicare PaymentAmount |
1053.18 |
Total Drug Medicare Standardized Payment Amount |
1053.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
193 |
Number Of Medical Services |
5125 |
Number Of Medicare Beneficiaries With Medical Services |
3354 |
Total Medical Submitted Charge Amount |
1350820.81 |
Total Medical Medicare Allowed Amount |
367205.92 |
Total Medical Medicare Payment Amount |
287472.71 |
Total Medical Medicare Standardized Payment Amount |
293799.88 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
513 |
Number Of Beneficiaries Age 65 to 74 |
1499 |
Number Of Beneficiaries Age 75 to 84 |
907 |
Number Of Beneficiaries Age Greater 84 |
436 |
Number Of Female Beneficiaries |
2087 |
Number Of Male Beneficiaries |
1268 |
Number Of Non Hispanic White Beneficiaries |
3176 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
83 |
Number Of American Indian Alaska Native Beneficiaries |
43 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
2682 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
673 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3072 |