Medicare Facts for Dr. James R. Willis, MD


National Provider Identifier [NPI]: 1407800501
Last Name Of The Provider WILLIS
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 3810 SPRINGHURST BLVD
Street Address 2 Of The Provider SUITE 200
City Of The Provider LOUISVILLE
Zip Code Of The Provider 402416100
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Dermatology
Medicare Participation Indicator Y
Number Of HCPCS 46
Number Of Services 558
Number Of Medicare Beneficiaries 173
Total Submitted Charge Amount 361905
Total Medicare Allowed Amount 199346.64
Total Medicare Payment Amount 155888.09
Total Medicare Standardized Payment Amount 160867.99
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 46
Number Of Medical Services 558
Number Of Medicare Beneficiaries With Medical Services 173
Total Medical Submitted Charge Amount 361905
Total Medical Medicare Allowed Amount 199346.64
Total Medical Medicare Payment Amount 155888.09
Total Medical Medicare Standardized Payment Amount 160867.99
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 68
Number Of Beneficiaries Age 75 to 84 67
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 63
Number Of Male Beneficiaries 110
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 8
Percent Of With Cancer 10
Percent Of With Heart Failure 24
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 12
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2786

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