Medicare Facts for Dr. James M. Highley, DO


National Provider Identifier [NPI]: 1548227671
Last Name Of The Provider HIGHLEY
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 410 WEST TENTH AVE
Street Address 2 Of The Provider N429 DOAN HALL
City Of The Provider COLUMBUS
Zip Code Of The Provider 43210
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiology
Medicare Participation Indicator Y
Number Of HCPCS 57
Number Of Services 198
Number Of Medicare Beneficiaries 183
Total Submitted Charge Amount 195126
Total Medicare Allowed Amount 44110.77
Total Medicare Payment Amount 34148.16
Total Medicare Standardized Payment Amount 34983.18
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 57
Number Of Medical Services 198
Number Of Medicare Beneficiaries With Medical Services 183
Total Medical Submitted Charge Amount 195126
Total Medical Medicare Allowed Amount 44110.77
Total Medical Medicare Payment Amount 34148.16
Total Medical Medicare Standardized Payment Amount 34983.18
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 61
Number Of Beneficiaries Age 65 to 74 79
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 92
Number Of Male Beneficiaries 91
Number Of Non Hispanic White Beneficiaries 155
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 122
Number Of Beneficiaries With Medicare Medicaid Entitlement 61
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 10
Percent Of With Cancer 26
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 40
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 39
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.9839

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