Medicare Facts for Dr. James J. Nemec, MD


National Provider Identifier [NPI]: 1457321341
Last Name Of The Provider NEMEC
First Name Of The Provider JAMES
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 9228 S MINGO RD
Street Address 2 Of The Provider SUITE 200
City Of The Provider TULSA
Zip Code Of The Provider 741335718
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 20
Number Of Services 2576
Number Of Medicare Beneficiaries 1176
Total Submitted Charge Amount 465238.5
Total Medicare Allowed Amount 110254.12
Total Medicare Payment Amount 80045.63
Total Medicare Standardized Payment Amount 85472.88
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 20
Number Of Medicare Beneficiaries With Drug Services 20
Total Drug Submitted ChargeAmount 4260
Total Drug Medicare AllowedAmount 1060.58
Total Drug Medicare PaymentAmount 831.47
Total Drug Medicare Standardized Payment Amount 831.47
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 19
Number Of Medical Services 2556
Number Of Medicare Beneficiaries With Medical Services 1176
Total Medical Submitted Charge Amount 460978.5
Total Medical Medicare Allowed Amount 109193.54
Total Medical Medicare Payment Amount 79214.16
Total Medical Medicare Standardized Payment Amount 84641.41
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 251
Number Of Beneficiaries Age 65 to 74 496
Number Of Beneficiaries Age 75 to 84 346
Number Of Beneficiaries Age Greater 84 83
Number Of Female Beneficiaries 604
Number Of Male Beneficiaries 572
Number Of Non Hispanic White Beneficiaries 902
Number Of Black or African American Beneficiaries 102
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 148
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 822
Number Of Beneficiaries With Medicare Medicaid Entitlement 354
Percent Of With Atrial Fibrillation 21
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 12
Percent Of With Cancer 10
Percent Of With Heart Failure 41
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 33
Percent Of With Depression 34
Percent Of With Diabetes 44
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 72
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 1.6358

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