Medicare Facts for Dr. James R. Whatley, MD


National Provider Identifier [NPI]: 1427009349
Last Name Of The Provider WHATLEY
First Name Of The Provider JAMES
Middle Initial Of The Provider R
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 121 NORTH 20TH STREET # 18
Street Address 2 Of The Provider
City Of The Provider OPELIKA
Zip Code Of The Provider 368015457
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 128
Number Of Services 3630
Number Of Medicare Beneficiaries 619
Total Submitted Charge Amount 676951.25
Total Medicare Allowed Amount 244777.74
Total Medicare Payment Amount 178822.54
Total Medicare Standardized Payment Amount 197852.47
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 643
Number Of Medicare Beneficiaries With Drug Services 265
Total Drug Submitted ChargeAmount 18362
Total Drug Medicare AllowedAmount 5016.22
Total Drug Medicare PaymentAmount 3837.21
Total Drug Medicare Standardized Payment Amount 3837.21
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 122
Number Of Medical Services 2987
Number Of Medicare Beneficiaries With Medical Services 619
Total Medical Submitted Charge Amount 658589.25
Total Medical Medicare Allowed Amount 239761.52
Total Medical Medicare Payment Amount 174985.33
Total Medical Medicare Standardized Payment Amount 194015.26
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 108
Number Of Beneficiaries Age 65 to 74 257
Number Of Beneficiaries Age 75 to 84 176
Number Of Beneficiaries Age Greater 84 78
Number Of Female Beneficiaries 399
Number Of Male Beneficiaries 220
Number Of Non Hispanic White Beneficiaries 446
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 489
Number Of Beneficiaries With Medicare Medicaid Entitlement 130
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 6
Percent Of With Cancer 9
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 14
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 65
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.1142

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