Medicare Facts for Dr. James H. Shelton, MD


National Provider Identifier [NPI]: 1780622092
Last Name Of The Provider SHELTON
First Name Of The Provider JAMES
Middle Initial Of The Provider H
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3600 GASTON AVE
Street Address 2 Of The Provider SUITE 851
City Of The Provider DALLAS
Zip Code Of The Provider 752461800
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 1867
Number Of Medicare Beneficiaries 419
Total Submitted Charge Amount 186955.37
Total Medicare Allowed Amount 172606.23
Total Medicare Payment Amount 129479.56
Total Medicare Standardized Payment Amount 129651.84
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 380
Number Of Medicare Beneficiaries With Drug Services 93
Total Drug Submitted ChargeAmount 21236.84
Total Drug Medicare AllowedAmount 20128.3
Total Drug Medicare PaymentAmount 15347.66
Total Drug Medicare Standardized Payment Amount 15347.66
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 36
Number Of Medical Services 1487
Number Of Medicare Beneficiaries With Medical Services 419
Total Medical Submitted Charge Amount 165718.53
Total Medical Medicare Allowed Amount 152477.93
Total Medical Medicare Payment Amount 114131.9
Total Medical Medicare Standardized Payment Amount 114304.18
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 40
Number Of Beneficiaries Age 65 to 74 137
Number Of Beneficiaries Age 75 to 84 170
Number Of Beneficiaries Age Greater 84 72
Number Of Female Beneficiaries 169
Number Of Male Beneficiaries 250
Number Of Non Hispanic White Beneficiaries 314
Number Of Black or African American Beneficiaries 75
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 366
Number Of Beneficiaries With Medicare Medicaid Entitlement 53
Percent Of With Atrial Fibrillation 22
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 34
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 20
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 74
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.4986

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