Medicare Facts for James Summers, BCBA


National Provider Identifier [NPI]: 1396836730
Last Name Of The Provider SUMMERS
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 600 COFFEE RD
Street Address 2 Of The Provider
City Of The Provider MODESTO
Zip Code Of The Provider 953554201
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Diagnostic Radiology
Medicare Participation Indicator Y
Number Of HCPCS 168
Number Of Services 32003
Number Of Medicare Beneficiaries 4701
Total Submitted Charge Amount 1812139.62
Total Medicare Allowed Amount 386104.79
Total Medicare Payment Amount 301978.39
Total Medicare Standardized Payment Amount 290183.6
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 25256
Number Of Medicare Beneficiaries With Drug Services 255
Total Drug Submitted ChargeAmount 25859.62
Total Drug Medicare AllowedAmount 4823.81
Total Drug Medicare PaymentAmount 3744.36
Total Drug Medicare Standardized Payment Amount 3744.36
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 163
Number Of Medical Services 6747
Number Of Medicare Beneficiaries With Medical Services 4701
Total Medical Submitted Charge Amount 1786280
Total Medical Medicare Allowed Amount 381280.98
Total Medical Medicare Payment Amount 298234.03
Total Medical Medicare Standardized Payment Amount 286439.24
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 898
Number Of Beneficiaries Age 65 to 74 1920
Number Of Beneficiaries Age 75 to 84 1244
Number Of Beneficiaries Age Greater 84 639
Number Of Female Beneficiaries 3058
Number Of Male Beneficiaries 1643
Number Of Non Hispanic White Beneficiaries 3384
Number Of Black or African American Beneficiaries 192
Number Of AsianPacific Islander Beneficiaries 198
Number Of Hispanic Beneficiaries 812
Number Of American Indian Alaska Native Beneficiaries 29
Number Of Beneficiaries With Race Not Else where Classified 86
Number Of Beneficiaries With Medicare Only Entitlement 3020
Number Of Beneficiaries With Medicare Medicaid Entitlement 1681
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 12
Percent Of With Cancer 11
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 36
Percent Of With Chronic Obstructive Pulmonary Disease 22
Percent Of With Depression 28
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.5323

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