Medicare Facts for Dr. James M. Rouse, MD


National Provider Identifier [NPI]: 1083877369
Last Name Of The Provider ROUSE
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 1928 ALCOA HWY STE 324
Street Address 2 Of The Provider
City Of The Provider KNOXVILLE
Zip Code Of The Provider 379201505
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 42
Number Of Services 2390
Number Of Medicare Beneficiaries 607
Total Submitted Charge Amount 530254
Total Medicare Allowed Amount 277333.67
Total Medicare Payment Amount 202413.98
Total Medicare Standardized Payment Amount 222261.31
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 42
Number Of Medical Services 2390
Number Of Medicare Beneficiaries With Medical Services 607
Total Medical Submitted Charge Amount 530254
Total Medical Medicare Allowed Amount 277333.67
Total Medical Medicare Payment Amount 202413.98
Total Medical Medicare Standardized Payment Amount 222261.31
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 59
Number Of Beneficiaries Age 65 to 74 242
Number Of Beneficiaries Age 75 to 84 199
Number Of Beneficiaries Age Greater 84 107
Number Of Female Beneficiaries 363
Number Of Male Beneficiaries 244
Number Of Non Hispanic White Beneficiaries 542
Number Of Black or African American Beneficiaries 46
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 522
Number Of Beneficiaries With Medicare Medicaid Entitlement 85
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 7
Percent Of With Cancer 7
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 18
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.1522

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