Medicare Facts for Dr. James C. Whatley, MD


National Provider Identifier [NPI]: 1750446746
Last Name Of The Provider WHATLEY
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 1825 MARTHA BERRY BLVD NW
Street Address 2 Of The Provider
City Of The Provider ROME
Zip Code Of The Provider 301651625
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 191
Number Of Services 58872
Number Of Medicare Beneficiaries 1717
Total Submitted Charge Amount 1929635
Total Medicare Allowed Amount 566483.85
Total Medicare Payment Amount 430243.79
Total Medicare Standardized Payment Amount 467861.28
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 15
Number Of Drug Services 50595
Number Of Medicare Beneficiaries With Drug Services 914
Total Drug Submitted ChargeAmount 76935.5
Total Drug Medicare AllowedAmount 21771.52
Total Drug Medicare PaymentAmount 19177.33
Total Drug Medicare Standardized Payment Amount 19177.33
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 176
Number Of Medical Services 8277
Number Of Medicare Beneficiaries With Medical Services 1717
Total Medical Submitted Charge Amount 1852699.5
Total Medical Medicare Allowed Amount 544712.33
Total Medical Medicare Payment Amount 411066.46
Total Medical Medicare Standardized Payment Amount 448683.95
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 310
Number Of Beneficiaries Age 65 to 74 704
Number Of Beneficiaries Age 75 to 84 532
Number Of Beneficiaries Age Greater 84 171
Number Of Female Beneficiaries 964
Number Of Male Beneficiaries 753
Number Of Non Hispanic White Beneficiaries 1580
Number Of Black or African American Beneficiaries 112
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 11
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1383
Number Of Beneficiaries With Medicare Medicaid Entitlement 334
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 6
Percent Of With Cancer 14
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 24
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.2402

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