National Provider Identifier [NPI]: |
1811907579 |
Last Name Of The Provider |
JAMES |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
44 ALIANT PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALEXANDER CITY |
Zip Code Of The Provider |
350103426 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
178 |
Number Of Services |
18994 |
Number Of Medicare Beneficiaries |
1374 |
Total Submitted Charge Amount |
864124 |
Total Medicare Allowed Amount |
685444.33 |
Total Medicare Payment Amount |
496795.54 |
Total Medicare Standardized Payment Amount |
542206.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
3386 |
Number Of Medicare Beneficiaries With Drug Services |
568 |
Total Drug Submitted ChargeAmount |
28785 |
Total Drug Medicare AllowedAmount |
14391.66 |
Total Drug Medicare PaymentAmount |
11675.07 |
Total Drug Medicare Standardized Payment Amount |
11675.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
165 |
Number Of Medical Services |
15608 |
Number Of Medicare Beneficiaries With Medical Services |
1374 |
Total Medical Submitted Charge Amount |
835339 |
Total Medical Medicare Allowed Amount |
671052.67 |
Total Medical Medicare Payment Amount |
485120.47 |
Total Medical Medicare Standardized Payment Amount |
530531.52 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
311 |
Number Of Beneficiaries Age 65 to 74 |
535 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
199 |
Number Of Female Beneficiaries |
731 |
Number Of Male Beneficiaries |
643 |
Number Of Non Hispanic White Beneficiaries |
1120 |
Number Of Black or African American Beneficiaries |
239 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1050 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
324 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1614 |