Medicare Facts for Dr. James M. Edwards, MD


National Provider Identifier [NPI]: 1023125713
Last Name Of The Provider EDWARDS
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 48 DOCTORS PARK
Street Address 2 Of The Provider
City Of The Provider CAPE GIRARDEAU
Zip Code Of The Provider 637034928
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 119
Number Of Services 6575
Number Of Medicare Beneficiaries 619
Total Submitted Charge Amount 1217893.6
Total Medicare Allowed Amount 346435.41
Total Medicare Payment Amount 256573.98
Total Medicare Standardized Payment Amount 285168.32
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 3714
Number Of Medicare Beneficiaries With Drug Services 295
Total Drug Submitted ChargeAmount 75948.6
Total Drug Medicare AllowedAmount 42332.25
Total Drug Medicare PaymentAmount 32999.32
Total Drug Medicare Standardized Payment Amount 32999.32
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 115
Number Of Medical Services 2861
Number Of Medicare Beneficiaries With Medical Services 619
Total Medical Submitted Charge Amount 1141945
Total Medical Medicare Allowed Amount 304103.16
Total Medical Medicare Payment Amount 223574.66
Total Medical Medicare Standardized Payment Amount 252169
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 116
Number Of Beneficiaries Age 65 to 74 273
Number Of Beneficiaries Age 75 to 84 142
Number Of Beneficiaries Age Greater 84 88
Number Of Female Beneficiaries 402
Number Of Male Beneficiaries 217
Number Of Non Hispanic White Beneficiaries 595
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 495
Number Of Beneficiaries With Medicare Medicaid Entitlement 124
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 5
Percent Of With Cancer 7
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 30
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 70
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.1071

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