Medicare Facts for James S. Proctor, PT


National Provider Identifier [NPI]: 1275746992
Last Name Of The Provider PROCTOR
First Name Of The Provider JAMES
Middle Initial Of The Provider B
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 701 UNIVERSITY BLVD. EAST
Street Address 2 Of The Provider SUITE 400
City Of The Provider TUSCALOOSA
Zip Code Of The Provider 354017428
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 108
Number Of Services 6540
Number Of Medicare Beneficiaries 1422
Total Submitted Charge Amount 1225520.35
Total Medicare Allowed Amount 628488.52
Total Medicare Payment Amount 480174.88
Total Medicare Standardized Payment Amount 516698.65
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 885
Number Of Medicare Beneficiaries With Drug Services 215
Total Drug Submitted ChargeAmount 54500.75
Total Drug Medicare AllowedAmount 45070.36
Total Drug Medicare PaymentAmount 35035.88
Total Drug Medicare Standardized Payment Amount 35035.88
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 103
Number Of Medical Services 5655
Number Of Medicare Beneficiaries With Medical Services 1422
Total Medical Submitted Charge Amount 1171019.6
Total Medical Medicare Allowed Amount 583418.16
Total Medical Medicare Payment Amount 445139
Total Medical Medicare Standardized Payment Amount 481662.77
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 361
Number Of Beneficiaries Age 65 to 74 500
Number Of Beneficiaries Age 75 to 84 405
Number Of Beneficiaries Age Greater 84 156
Number Of Female Beneficiaries 807
Number Of Male Beneficiaries 615
Number Of Non Hispanic White Beneficiaries 935
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 999
Number Of Beneficiaries With Medicare Medicaid Entitlement 423
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 16
Percent Of With Cancer 11
Percent Of With Heart Failure 39
Percent Of With Chronic Kidney Disease 36
Percent Of With Chronic Obstructive Pulmonary Disease 29
Percent Of With Depression 30
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 73
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 58
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 53
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 1.6304

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