Medicare Facts for Dr. James P. Sutherland, MD


National Provider Identifier [NPI]: 1619965589
Last Name Of The Provider SUTHERLAND
First Name Of The Provider JAMES
Middle Initial Of The Provider P
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3200 WESTHILL DR
Street Address 2 Of The Provider STE 201
City Of The Provider WAUSAU
Zip Code Of The Provider 544014707
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 94
Number Of Services 1147
Number Of Medicare Beneficiaries 266
Total Submitted Charge Amount 743595
Total Medicare Allowed Amount 149053.88
Total Medicare Payment Amount 113693.21
Total Medicare Standardized Payment Amount 120872.06
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 206
Number Of Medicare Beneficiaries With Drug Services 41
Total Drug Submitted ChargeAmount 3542
Total Drug Medicare AllowedAmount 2150.03
Total Drug Medicare PaymentAmount 1681.28
Total Drug Medicare Standardized Payment Amount 1681.28
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 91
Number Of Medical Services 941
Number Of Medicare Beneficiaries With Medical Services 266
Total Medical Submitted Charge Amount 740053
Total Medical Medicare Allowed Amount 146903.85
Total Medical Medicare Payment Amount 112011.93
Total Medical Medicare Standardized Payment Amount 119190.78
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 41
Number Of Beneficiaries Age 65 to 74 109
Number Of Beneficiaries Age 75 to 84 86
Number Of Beneficiaries Age Greater 84 30
Number Of Female Beneficiaries 164
Number Of Male Beneficiaries 102
Number Of Non Hispanic White Beneficiaries 251
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 212
Number Of Beneficiaries With Medicare Medicaid Entitlement 54
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 8
Percent Of With Cancer 9
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 26
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 68
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1359

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