National Provider Identifier [NPI]: |
1568407666 |
Last Name Of The Provider |
NORYS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3344 N FUTRALL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAYETTEVILLE |
Zip Code Of The Provider |
727034057 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
195 |
Number Of Services |
29540 |
Number Of Medicare Beneficiaries |
4142 |
Total Submitted Charge Amount |
1334433 |
Total Medicare Allowed Amount |
506925.31 |
Total Medicare Payment Amount |
444263.56 |
Total Medicare Standardized Payment Amount |
460214.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
713 |
Number Of Medicare Beneficiaries With Drug Services |
320 |
Total Drug Submitted ChargeAmount |
29263 |
Total Drug Medicare AllowedAmount |
19057.36 |
Total Drug Medicare PaymentAmount |
17842 |
Total Drug Medicare Standardized Payment Amount |
17842 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
176 |
Number Of Medical Services |
28827 |
Number Of Medicare Beneficiaries With Medical Services |
4142 |
Total Medical Submitted Charge Amount |
1305170 |
Total Medical Medicare Allowed Amount |
487867.95 |
Total Medical Medicare Payment Amount |
426421.56 |
Total Medical Medicare Standardized Payment Amount |
442372.81 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
534 |
Number Of Beneficiaries Age 65 to 74 |
2099 |
Number Of Beneficiaries Age 75 to 84 |
1147 |
Number Of Beneficiaries Age Greater 84 |
362 |
Number Of Female Beneficiaries |
2495 |
Number Of Male Beneficiaries |
1647 |
Number Of Non Hispanic White Beneficiaries |
3969 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
23 |
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
3646 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
496 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8862 |