Medicare Facts for Dr. James C. Heald, MD


National Provider Identifier [NPI]: 1619031739
Last Name Of The Provider HEALD
First Name Of The Provider JAMES
Middle Initial Of The Provider I
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 701 E MARSHALL ST
Street Address 2 Of The Provider
City Of The Provider WEST CHESTER
Zip Code Of The Provider 193804412
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Pathology
Medicare Participation Indicator Y
Number Of HCPCS 26
Number Of Services 2566
Number Of Medicare Beneficiaries 997
Total Submitted Charge Amount 506318.86
Total Medicare Allowed Amount 99320.92
Total Medicare Payment Amount 76904.34
Total Medicare Standardized Payment Amount 56605.66
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 2566
Number Of Medicare Beneficiaries With Medical Services 997
Total Medical Submitted Charge Amount 506318.86
Total Medical Medicare Allowed Amount 99320.92
Total Medical Medicare Payment Amount 76904.34
Total Medical Medicare Standardized Payment Amount 56605.66
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 95
Number Of Beneficiaries Age 65 to 74 521
Number Of Beneficiaries Age 75 to 84 279
Number Of Beneficiaries Age Greater 84 102
Number Of Female Beneficiaries 585
Number Of Male Beneficiaries 412
Number Of Non Hispanic White Beneficiaries 868
Number Of Black or African American Beneficiaries 68
Number Of AsianPacific Islander Beneficiaries 11
Number Of Hispanic Beneficiaries 28
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 22
Number Of Beneficiaries With Medicare Only Entitlement 883
Number Of Beneficiaries With Medicare Medicaid Entitlement 114
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 8
Percent Of With Cancer 23
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 21
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.3095

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