National Provider Identifier [NPI]: |
1801861059 |
Last Name Of The Provider |
ROBESON |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1118 ROSS CLARK CIR |
Street Address 2 Of The Provider |
SUITE 303 |
City Of The Provider |
DOTHAN |
Zip Code Of The Provider |
363013001 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
15303 |
Number Of Medicare Beneficiaries |
1585 |
Total Submitted Charge Amount |
643240.55 |
Total Medicare Allowed Amount |
537661.02 |
Total Medicare Payment Amount |
414579.69 |
Total Medicare Standardized Payment Amount |
444293.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
3327 |
Number Of Medicare Beneficiaries With Drug Services |
414 |
Total Drug Submitted ChargeAmount |
60574 |
Total Drug Medicare AllowedAmount |
44499.21 |
Total Drug Medicare PaymentAmount |
36437.47 |
Total Drug Medicare Standardized Payment Amount |
36437.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
11976 |
Number Of Medicare Beneficiaries With Medical Services |
1585 |
Total Medical Submitted Charge Amount |
582666.55 |
Total Medical Medicare Allowed Amount |
493161.81 |
Total Medical Medicare Payment Amount |
378142.22 |
Total Medical Medicare Standardized Payment Amount |
407856.01 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
244 |
Number Of Beneficiaries Age 65 to 74 |
633 |
Number Of Beneficiaries Age 75 to 84 |
495 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
836 |
Number Of Male Beneficiaries |
749 |
Number Of Non Hispanic White Beneficiaries |
1314 |
Number Of Black or African American Beneficiaries |
254 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
1214 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
371 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4446 |