Medicare Facts for Dr. James C. Sheffield, MD


National Provider Identifier [NPI]: 1780654210
Last Name Of The Provider SHEFFIELD
First Name Of The Provider JAMES
Middle Initial Of The Provider C
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 22299 HWY 59 NORTH
Street Address 2 Of The Provider
City Of The Provider KINGWOOD
Zip Code Of The Provider 773394438
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 96
Number Of Services 645
Number Of Medicare Beneficiaries 112
Total Submitted Charge Amount 84148.8
Total Medicare Allowed Amount 20795.18
Total Medicare Payment Amount 15520.87
Total Medicare Standardized Payment Amount 16217.97
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 20
Number Of Drug Services 168
Number Of Medicare Beneficiaries With Drug Services 35
Total Drug Submitted ChargeAmount 4866.4
Total Drug Medicare AllowedAmount 111.59
Total Drug Medicare PaymentAmount 77.33
Total Drug Medicare Standardized Payment Amount 77.33
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 76
Number Of Medical Services 477
Number Of Medicare Beneficiaries With Medical Services 112
Total Medical Submitted Charge Amount 79282.4
Total Medical Medicare Allowed Amount 20683.59
Total Medical Medicare Payment Amount 15443.54
Total Medical Medicare Standardized Payment Amount 16140.64
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 11
Number Of Beneficiaries Age 65 to 74 50
Number Of Beneficiaries Age 75 to 84 40
Number Of Beneficiaries Age Greater 84 11
Number Of Female Beneficiaries 71
Number Of Male Beneficiaries 41
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 18
Percent Of With Diabetes 17
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8952

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