National Provider Identifier [NPI]: |
1043309222 |
Last Name Of The Provider |
JAMES |
First Name Of The Provider |
REBECCA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3128 8TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MERIDIAN |
Zip Code Of The Provider |
393014753 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pediatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
11 |
Number Of Services |
5078 |
Number Of Medicare Beneficiaries |
2357 |
Total Submitted Charge Amount |
190581.92 |
Total Medicare Allowed Amount |
145533.97 |
Total Medicare Payment Amount |
142614.9 |
Total Medicare Standardized Payment Amount |
149173.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2542 |
Number Of Medicare Beneficiaries With Drug Services |
2339 |
Total Drug Submitted ChargeAmount |
116320.69 |
Total Drug Medicare AllowedAmount |
88893.44 |
Total Drug Medicare PaymentAmount |
87109.62 |
Total Drug Medicare Standardized Payment Amount |
87109.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
3 |
Number Of Medical Services |
2536 |
Number Of Medicare Beneficiaries With Medical Services |
2334 |
Total Medical Submitted Charge Amount |
74261.23 |
Total Medical Medicare Allowed Amount |
56640.53 |
Total Medical Medicare Payment Amount |
55505.28 |
Total Medical Medicare Standardized Payment Amount |
62063.69 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
227 |
Number Of Beneficiaries Age 65 to 74 |
859 |
Number Of Beneficiaries Age 75 to 84 |
968 |
Number Of Beneficiaries Age Greater 84 |
303 |
Number Of Female Beneficiaries |
1378 |
Number Of Male Beneficiaries |
979 |
Number Of Non Hispanic White Beneficiaries |
1760 |
Number Of Black or African American Beneficiaries |
572 |
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 |
1943 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
414 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8524 |