Medicare Facts for Dr. Terry L. James, DC


National Provider Identifier [NPI]: 1225250640
Last Name Of The Provider JAMES
First Name Of The Provider TERRY
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 16356 COUNTY ROAD 41
Street Address 2 Of The Provider
City Of The Provider ADDISON
Zip Code Of The Provider 355402416
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 86
Number Of Services 10749
Number Of Medicare Beneficiaries 537
Total Submitted Charge Amount 314234
Total Medicare Allowed Amount 211787.99
Total Medicare Payment Amount 141017.6
Total Medicare Standardized Payment Amount 155865.86
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 14
Number Of Drug Services 5621
Number Of Medicare Beneficiaries With Drug Services 376
Total Drug Submitted ChargeAmount 48361
Total Drug Medicare AllowedAmount 8253.57
Total Drug Medicare PaymentAmount 7019.49
Total Drug Medicare Standardized Payment Amount 7019.49
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 72
Number Of Medical Services 5128
Number Of Medicare Beneficiaries With Medical Services 537
Total Medical Submitted Charge Amount 265873
Total Medical Medicare Allowed Amount 203534.42
Total Medical Medicare Payment Amount 133998.11
Total Medical Medicare Standardized Payment Amount 148846.37
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 88
Number Of Beneficiaries Age 65 to 74 252
Number Of Beneficiaries Age 75 to 84 144
Number Of Beneficiaries Age Greater 84 53
Number Of Female Beneficiaries 285
Number Of Male Beneficiaries 252
Number Of Non Hispanic White Beneficiaries
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 390
Number Of Beneficiaries With Medicare Medicaid Entitlement 147
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 5
Percent Of With Cancer 7
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 13
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 3
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.9611

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