Medicare Facts for Dr. James P. Herlihy, MD


National Provider Identifier [NPI]: 1972555449
Last Name Of The Provider HERLIHY
First Name Of The Provider JAMES
Middle Initial Of The Provider P
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6624 FANNIN ST
Street Address 2 Of The Provider SUITE 1730
City Of The Provider HOUSTON
Zip Code Of The Provider 770302312
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Pulmonary Disease
Medicare Participation Indicator Y
Number Of HCPCS 55
Number Of Services 7839
Number Of Medicare Beneficiaries 1068
Total Submitted Charge Amount 1369407.58
Total Medicare Allowed Amount 550476.26
Total Medicare Payment Amount 422757.05
Total Medicare Standardized Payment Amount 424315.67
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 1904
Number Of Medicare Beneficiaries With Drug Services 150
Total Drug Submitted ChargeAmount 45434.58
Total Drug Medicare AllowedAmount 35737.44
Total Drug Medicare PaymentAmount 28363.33
Total Drug Medicare Standardized Payment Amount 28363.33
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 50
Number Of Medical Services 5935
Number Of Medicare Beneficiaries With Medical Services 1068
Total Medical Submitted Charge Amount 1323973
Total Medical Medicare Allowed Amount 514738.82
Total Medical Medicare Payment Amount 394393.72
Total Medical Medicare Standardized Payment Amount 395952.34
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 182
Number Of Beneficiaries Age 65 to 74 410
Number Of Beneficiaries Age 75 to 84 329
Number Of Beneficiaries Age Greater 84 147
Number Of Female Beneficiaries 570
Number Of Male Beneficiaries 498
Number Of Non Hispanic White Beneficiaries 741
Number Of Black or African American Beneficiaries 201
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 101
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 893
Number Of Beneficiaries With Medicare Medicaid Entitlement 175
Percent Of With Atrial Fibrillation 32
Percent Of With Alzheimers Disease or Dementia 17
Percent Of With Asthma 26
Percent Of With Cancer 14
Percent Of With Heart Failure 57
Percent Of With Chronic Kidney Disease 56
Percent Of With Chronic Obstructive Pulmonary Disease 48
Percent Of With Depression 31
Percent Of With Diabetes 47
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 69
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke 15
Average HCC Risk Score Of Beneficiaries 2.7431

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