Medicare Facts for Dr. James M. Abroms, MD


National Provider Identifier [NPI]: 1013010164
Last Name Of The Provider ABROMS
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1817 OXMOOR RD
Street Address 2 Of The Provider
City Of The Provider BIRMINGHAM
Zip Code Of The Provider 35209
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 39
Number Of Services 2291.5
Number Of Medicare Beneficiaries 296
Total Submitted Charge Amount 222922.36
Total Medicare Allowed Amount 140321.18
Total Medicare Payment Amount 96310.55
Total Medicare Standardized Payment Amount 105979.99
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 414.5
Number Of Medicare Beneficiaries With Drug Services 142
Total Drug Submitted ChargeAmount 11401.36
Total Drug Medicare AllowedAmount 4737.62
Total Drug Medicare PaymentAmount 4414.81
Total Drug Medicare Standardized Payment Amount 4414.81
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 1877
Number Of Medicare Beneficiaries With Medical Services 296
Total Medical Submitted Charge Amount 211521
Total Medical Medicare Allowed Amount 135583.56
Total Medical Medicare Payment Amount 91895.74
Total Medical Medicare Standardized Payment Amount 101565.18
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 17
Number Of Beneficiaries Age 65 to 74 137
Number Of Beneficiaries Age 75 to 84 99
Number Of Beneficiaries Age Greater 84 43
Number Of Female Beneficiaries 159
Number Of Male Beneficiaries 137
Number Of Non Hispanic White Beneficiaries 266
Number Of Black or African American Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 5
Percent Of With Cancer 8
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 8
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 74
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.8841

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