Medicare Facts for James E. Donaldson, LAT


National Provider Identifier [NPI]: 1871522763
Last Name Of The Provider DONALDSON
First Name Of The Provider JAMES
Middle Initial Of The Provider K
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 443 SHORE RD
Street Address 2 Of The Provider SUITE 103
City Of The Provider SOMERS POINT
Zip Code Of The Provider 082442642
State Code Of The Provider NJ
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 50
Number Of Services 1033
Number Of Medicare Beneficiaries 665
Total Submitted Charge Amount 499907
Total Medicare Allowed Amount 115274.56
Total Medicare Payment Amount 87979.71
Total Medicare Standardized Payment Amount 84269.78
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 168
Number Of Beneficiaries Age 65 to 74 208
Number Of Beneficiaries Age 75 to 84 181
Number Of Beneficiaries Age Greater 84 108
Number Of Female Beneficiaries 383
Number Of Male Beneficiaries 282
Number Of Non Hispanic White Beneficiaries 454
Number Of Black or African American Beneficiaries 143
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 49
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 444
Number Of Beneficiaries With Medicare Medicaid Entitlement 221
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 24
Percent Of With Asthma 17
Percent Of With Cancer 13
Percent Of With Heart Failure 54
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 30
Percent Of With Diabetes 47
Percent Of With Hyperlipidemia 71
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 55
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 12
Percent Of With Stroke 13
Average HCC Risk Score Of Beneficiaries 2.0685

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