Medicare Facts for Dr. James M. Oppy, MD


National Provider Identifier [NPI]: 1720072861
Last Name Of The Provider OPPY
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 201 N PITTSBURGH ST
Street Address 2 Of The Provider SUITE 3A
City Of The Provider CONNELLSVILLE
Zip Code Of The Provider 154253231
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 57
Number Of Services 2759
Number Of Medicare Beneficiaries 240
Total Submitted Charge Amount 169964
Total Medicare Allowed Amount 136483.99
Total Medicare Payment Amount 101101.8
Total Medicare Standardized Payment Amount 104842.9
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 10
Number Of Drug Services 292
Number Of Medicare Beneficiaries With Drug Services 163
Total Drug Submitted ChargeAmount 8251
Total Drug Medicare AllowedAmount 4942.97
Total Drug Medicare PaymentAmount 4678.77
Total Drug Medicare Standardized Payment Amount 4678.77
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 47
Number Of Medical Services 2467
Number Of Medicare Beneficiaries With Medical Services 240
Total Medical Submitted Charge Amount 161713
Total Medical Medicare Allowed Amount 131541.02
Total Medical Medicare Payment Amount 96423.03
Total Medical Medicare Standardized Payment Amount 100164.13
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 43
Number Of Beneficiaries Age 65 to 74 119
Number Of Beneficiaries Age 75 to 84 44
Number Of Beneficiaries Age Greater 84 34
Number Of Female Beneficiaries 122
Number Of Male Beneficiaries 118
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 200
Number Of Beneficiaries With Medicare Medicaid Entitlement 40
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma
Percent Of With Cancer 8
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 15
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 25
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9633

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