Medicare Facts for Dr. James S. Alley, MD


National Provider Identifier [NPI]: 1295780369
Last Name Of The Provider ALLEY
First Name Of The Provider JAMES
Middle Initial Of The Provider S
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6600 NIGHTINGALE LN
Street Address 2 Of The Provider
City Of The Provider KNOXVILLE
Zip Code Of The Provider 379092754
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 127
Number Of Services 8212
Number Of Medicare Beneficiaries 364
Total Submitted Charge Amount 517812
Total Medicare Allowed Amount 227254.08
Total Medicare Payment Amount 174611.42
Total Medicare Standardized Payment Amount 190320.8
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 15
Number Of Drug Services 470
Number Of Medicare Beneficiaries With Drug Services 176
Total Drug Submitted ChargeAmount 8968
Total Drug Medicare AllowedAmount 5039.59
Total Drug Medicare PaymentAmount 4721.47
Total Drug Medicare Standardized Payment Amount 4721.47
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 112
Number Of Medical Services 7742
Number Of Medicare Beneficiaries With Medical Services 364
Total Medical Submitted Charge Amount 508844
Total Medical Medicare Allowed Amount 222214.49
Total Medical Medicare Payment Amount 169889.95
Total Medical Medicare Standardized Payment Amount 185599.33
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 68
Number Of Beneficiaries Age 65 to 74 135
Number Of Beneficiaries Age 75 to 84 102
Number Of Beneficiaries Age Greater 84 59
Number Of Female Beneficiaries 224
Number Of Male Beneficiaries 140
Number Of Non Hispanic White Beneficiaries 330
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 295
Number Of Beneficiaries With Medicare Medicaid Entitlement 69
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 6
Percent Of With Cancer 8
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 16
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 56
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.2063

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