Medicare Facts for Stephanie L. James, APN


National Provider Identifier [NPI]: 1538408166
Last Name Of The Provider JAMES
First Name Of The Provider STEPHANIE
Middle Initial Of The Provider L
Credentials Of The Provider APN
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 727 E CHURCH ST
Street Address 2 Of The Provider
City Of The Provider LEXINGTON
Zip Code Of The Provider 383511924
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 29
Number Of Services 816
Number Of Medicare Beneficiaries 166
Total Submitted Charge Amount 44488.6
Total Medicare Allowed Amount 27241.62
Total Medicare Payment Amount 19881.32
Total Medicare Standardized Payment Amount 25184.05
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 214
Number Of Medicare Beneficiaries With Drug Services 44
Total Drug Submitted ChargeAmount 722.6
Total Drug Medicare AllowedAmount 218.4
Total Drug Medicare PaymentAmount 136.5
Total Drug Medicare Standardized Payment Amount 136.5
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 24
Number Of Medical Services 602
Number Of Medicare Beneficiaries With Medical Services 166
Total Medical Submitted Charge Amount 43766
Total Medical Medicare Allowed Amount 27023.22
Total Medical Medicare Payment Amount 19744.82
Total Medical Medicare Standardized Payment Amount 25047.55
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 22
Number Of Beneficiaries Age 65 to 74 55
Number Of Beneficiaries Age 75 to 84 56
Number Of Beneficiaries Age Greater 84 33
Number Of Female Beneficiaries 101
Number Of Male Beneficiaries 65
Number Of Non Hispanic White Beneficiaries 154
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 81
Number Of Beneficiaries With Medicare Medicaid Entitlement 85
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 36
Percent Of With Asthma
Percent Of With Cancer 8
Percent Of With Heart Failure 36
Percent Of With Chronic Kidney Disease 31
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 38
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 49
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 54
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders 19
Percent Of With Stroke 17
Average HCC Risk Score Of Beneficiaries 1.5401

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