Medicare Facts for Dr. James E. Spicher, MD


National Provider Identifier [NPI]: 1275571887
Last Name Of The Provider SPICHER
First Name Of The Provider JAMES
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2301 COLUMBIA AVE
Street Address 2 Of The Provider
City Of The Provider LANCASTER
Zip Code Of The Provider 176034154
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 114
Number Of Services 7115
Number Of Medicare Beneficiaries 1249
Total Submitted Charge Amount 508464
Total Medicare Allowed Amount 315478.8
Total Medicare Payment Amount 248459
Total Medicare Standardized Payment Amount 256694.32
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 370
Number Of Medicare Beneficiaries With Drug Services 261
Total Drug Submitted ChargeAmount 26046
Total Drug Medicare AllowedAmount 18103.58
Total Drug Medicare PaymentAmount 17606.1
Total Drug Medicare Standardized Payment Amount 17606.1
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 103
Number Of Medical Services 6745
Number Of Medicare Beneficiaries With Medical Services 1249
Total Medical Submitted Charge Amount 482418
Total Medical Medicare Allowed Amount 297375.22
Total Medical Medicare Payment Amount 230852.9
Total Medical Medicare Standardized Payment Amount 239088.22
Average Age Of Beneficiaries 78
Number Of Beneficiaries Age Less65 121
Number Of Beneficiaries Age 65 to 74 325
Number Of Beneficiaries Age 75 to 84 401
Number Of Beneficiaries Age Greater 84 402
Number Of Female Beneficiaries 721
Number Of Male Beneficiaries 528
Number Of Non Hispanic White Beneficiaries 1170
Number Of Black or African American Beneficiaries 17
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 41
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1072
Number Of Beneficiaries With Medicare Medicaid Entitlement 177
Percent Of With Atrial Fibrillation 26
Percent Of With Alzheimers Disease or Dementia 20
Percent Of With Asthma 9
Percent Of With Cancer 14
Percent Of With Heart Failure 30
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 33
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 45
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 1.57

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