Medicare Facts for Dr. Mark James, MD


National Provider Identifier [NPI]: 1821019282
Last Name Of The Provider JAMES
First Name Of The Provider MARK
Middle Initial Of The Provider L
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 711 RIVERSIDE DR.
Street Address 2 Of The Provider
City Of The Provider FRANKLINTON
Zip Code Of The Provider 704383633
State Code Of The Provider LA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 92
Number Of Services 4373
Number Of Medicare Beneficiaries 566
Total Submitted Charge Amount 312555
Total Medicare Allowed Amount 182088.83
Total Medicare Payment Amount 126574.81
Total Medicare Standardized Payment Amount 137932.84
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 17
Number Of Drug Services 506
Number Of Medicare Beneficiaries With Drug Services 249
Total Drug Submitted ChargeAmount 17666
Total Drug Medicare AllowedAmount 7926.38
Total Drug Medicare PaymentAmount 7549.53
Total Drug Medicare Standardized Payment Amount 7549.53
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 75
Number Of Medical Services 3867
Number Of Medicare Beneficiaries With Medical Services 566
Total Medical Submitted Charge Amount 294889
Total Medical Medicare Allowed Amount 174162.45
Total Medical Medicare Payment Amount 119025.28
Total Medical Medicare Standardized Payment Amount 130383.31
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 112
Number Of Beneficiaries Age 65 to 74 244
Number Of Beneficiaries Age 75 to 84 139
Number Of Beneficiaries Age Greater 84 71
Number Of Female Beneficiaries 324
Number Of Male Beneficiaries 242
Number Of Non Hispanic White Beneficiaries 513
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 420
Number Of Beneficiaries With Medicare Medicaid Entitlement 146
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 5
Percent Of With Cancer 8
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 19
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 55
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.3616

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