Medicare Facts for Dr. James L. Pirkle, MD


National Provider Identifier [NPI]: 1760411425
Last Name Of The Provider PIRKLE
First Name Of The Provider JAMES
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider MEDICAL CENTER BLVD
Street Address 2 Of The Provider
City Of The Provider WINSTON SALEM
Zip Code Of The Provider 271570001
State Code Of The Provider NC
Country Code Of The Provider US
Provider Type Of The Provider Nephrology
Medicare Participation Indicator Y
Number Of HCPCS 35
Number Of Services 2017
Number Of Medicare Beneficiaries 519
Total Submitted Charge Amount 490055.75
Total Medicare Allowed Amount 190830.04
Total Medicare Payment Amount 146994.07
Total Medicare Standardized Payment Amount 152265.57
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 60
Number Of Beneficiaries Age Less65 290
Number Of Beneficiaries Age 65 to 74 136
Number Of Beneficiaries Age 75 to 84 72
Number Of Beneficiaries Age Greater 84 21
Number Of Female Beneficiaries 217
Number Of Male Beneficiaries 302
Number Of Non Hispanic White Beneficiaries 311
Number Of Black or African American Beneficiaries 187
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 257
Number Of Beneficiaries With Medicare Medicaid Entitlement 262
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 13
Percent Of With Cancer 11
Percent Of With Heart Failure 50
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 24
Percent Of With Depression 36
Percent Of With Diabetes 59
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 53
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 6.0591

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