Medicare Facts for Dr. James V. Worthen, MD


National Provider Identifier [NPI]: 1922217215
Last Name Of The Provider WORTHEN
First Name Of The Provider JAMES
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 619 19TH ST S
Street Address 2 Of The Provider
City Of The Provider BIRMINGHAM
Zip Code Of The Provider 352491900
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 106
Number Of Services 3130
Number Of Medicare Beneficiaries 368
Total Submitted Charge Amount 640581
Total Medicare Allowed Amount 207574.24
Total Medicare Payment Amount 155748.45
Total Medicare Standardized Payment Amount 173071.68
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 1500
Number Of Medicare Beneficiaries With Drug Services 156
Total Drug Submitted ChargeAmount 48920
Total Drug Medicare AllowedAmount 32135.65
Total Drug Medicare PaymentAmount 24260.95
Total Drug Medicare Standardized Payment Amount 24260.95
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 103
Number Of Medical Services 1630
Number Of Medicare Beneficiaries With Medical Services 368
Total Medical Submitted Charge Amount 591661
Total Medical Medicare Allowed Amount 175438.59
Total Medical Medicare Payment Amount 131487.5
Total Medical Medicare Standardized Payment Amount 148810.73
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 41
Number Of Beneficiaries Age 65 to 74 182
Number Of Beneficiaries Age 75 to 84 100
Number Of Beneficiaries Age Greater 84 45
Number Of Female Beneficiaries 251
Number Of Male Beneficiaries 117
Number Of Non Hispanic White Beneficiaries 342
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 340
Number Of Beneficiaries With Medicare Medicaid Entitlement 28
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 6
Percent Of With Cancer 10
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 22
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 70
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0526

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