National Provider Identifier [NPI]: |
1952366569 |
Last Name Of The Provider |
BRIDGES |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 PEPPERELL PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
OPELIKA |
Zip Code Of The Provider |
368015452 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
1369 |
Number Of Medicare Beneficiaries |
998 |
Total Submitted Charge Amount |
572911.9 |
Total Medicare Allowed Amount |
125299.1 |
Total Medicare Payment Amount |
94679.88 |
Total Medicare Standardized Payment Amount |
103594.96 |
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 |
106 |
Number Of Medical Services |
1369 |
Number Of Medicare Beneficiaries With Medical Services |
998 |
Total Medical Submitted Charge Amount |
572911.9 |
Total Medical Medicare Allowed Amount |
125299.1 |
Total Medical Medicare Payment Amount |
94679.88 |
Total Medical Medicare Standardized Payment Amount |
103594.96 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
420 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
541 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
687 |
Number Of Black or African American Beneficiaries |
294 |
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 |
750 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8024 |