Medicare Facts for Dr. James M. Sutton, MD


National Provider Identifier [NPI]: 1467411231
Last Name Of The Provider SUTTON
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 915 MEZZANINE DR
Street Address 2 Of The Provider SUITE A
City Of The Provider LAFAYETTE
Zip Code Of The Provider 479058637
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Nephrology
Medicare Participation Indicator Y
Number Of HCPCS 29
Number Of Services 9539
Number Of Medicare Beneficiaries 464
Total Submitted Charge Amount 787327.89
Total Medicare Allowed Amount 291870.01
Total Medicare Payment Amount 223182.93
Total Medicare Standardized Payment Amount 232771.22
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 6694
Number Of Medicare Beneficiaries With Drug Services 25
Total Drug Submitted ChargeAmount 60482
Total Drug Medicare AllowedAmount 25055.48
Total Drug Medicare PaymentAmount 19673.74
Total Drug Medicare Standardized Payment Amount 19673.74
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 25
Number Of Medical Services 2845
Number Of Medicare Beneficiaries With Medical Services 464
Total Medical Submitted Charge Amount 726845.89
Total Medical Medicare Allowed Amount 266814.53
Total Medical Medicare Payment Amount 203509.19
Total Medical Medicare Standardized Payment Amount 213097.48
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 100
Number Of Beneficiaries Age 65 to 74 154
Number Of Beneficiaries Age 75 to 84 149
Number Of Beneficiaries Age Greater 84 61
Number Of Female Beneficiaries 217
Number Of Male Beneficiaries 247
Number Of Non Hispanic White Beneficiaries 438
Number Of Black or African American Beneficiaries
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 334
Number Of Beneficiaries With Medicare Medicaid Entitlement 130
Percent Of With Atrial Fibrillation 22
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 11
Percent Of With Cancer 8
Percent Of With Heart Failure 49
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 34
Percent Of With Diabetes 60
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 53
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 13
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 3.2814

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