Medicare Facts for Dr. James M. Pawlus, MD


National Provider Identifier [NPI]: 1447242946
Last Name Of The Provider PAWLUS
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 1441 RIDGE ST
Street Address 2 Of The Provider
City Of The Provider NAPLES
Zip Code Of The Provider 341034211
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Diagnostic Radiology
Medicare Participation Indicator Y
Number Of HCPCS 182
Number Of Services 83030
Number Of Medicare Beneficiaries 3637
Total Submitted Charge Amount 1778048.09
Total Medicare Allowed Amount 837833.2
Total Medicare Payment Amount 639730.77
Total Medicare Standardized Payment Amount 626727.11
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 78009
Number Of Medicare Beneficiaries With Drug Services 846
Total Drug Submitted ChargeAmount 59081.99
Total Drug Medicare AllowedAmount 19688.65
Total Drug Medicare PaymentAmount 15316.22
Total Drug Medicare Standardized Payment Amount 15316.22
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 175
Number Of Medical Services 5021
Number Of Medicare Beneficiaries With Medical Services 3633
Total Medical Submitted Charge Amount 1718966.1
Total Medical Medicare Allowed Amount 818144.55
Total Medical Medicare Payment Amount 624414.55
Total Medical Medicare Standardized Payment Amount 611410.89
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 198
Number Of Beneficiaries Age 65 to 74 1490
Number Of Beneficiaries Age 75 to 84 1399
Number Of Beneficiaries Age Greater 84 550
Number Of Female Beneficiaries 1933
Number Of Male Beneficiaries 1704
Number Of Non Hispanic White Beneficiaries 3343
Number Of Black or African American Beneficiaries 44
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 179
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 50
Number Of Beneficiaries With Medicare Only Entitlement 3342
Number Of Beneficiaries With Medicare Medicaid Entitlement 295
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 8
Percent Of With Cancer 20
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 19
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 45
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 53
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.2952

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