Medicare Facts for Dr. James N. Englesby, MD


National Provider Identifier [NPI]: 1134275605
Last Name Of The Provider ENGLESBY
First Name Of The Provider JAMES
Middle Initial Of The Provider N
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 152 PIONEER LN
Street Address 2 Of The Provider SUITE C
City Of The Provider BISHOP
Zip Code Of The Provider 935142563
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 47
Number Of Services 1869
Number Of Medicare Beneficiaries 423
Total Submitted Charge Amount 172029.51
Total Medicare Allowed Amount 127894.65
Total Medicare Payment Amount 90742.92
Total Medicare Standardized Payment Amount 87705.05
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 140
Number Of Medicare Beneficiaries With Drug Services 100
Total Drug Submitted ChargeAmount 2803.86
Total Drug Medicare AllowedAmount 2233.44
Total Drug Medicare PaymentAmount 2178.32
Total Drug Medicare Standardized Payment Amount 2178.32
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 40
Number Of Medical Services 1729
Number Of Medicare Beneficiaries With Medical Services 423
Total Medical Submitted Charge Amount 169225.65
Total Medical Medicare Allowed Amount 125661.21
Total Medical Medicare Payment Amount 88564.6
Total Medical Medicare Standardized Payment Amount 85526.73
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 22
Number Of Beneficiaries Age 65 to 74 157
Number Of Beneficiaries Age 75 to 84 171
Number Of Beneficiaries Age Greater 84 73
Number Of Female Beneficiaries 216
Number Of Male Beneficiaries 207
Number Of Non Hispanic White Beneficiaries 397
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 374
Number Of Beneficiaries With Medicare Medicaid Entitlement 49
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 5
Percent Of With Cancer 12
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 13
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 35
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9953

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