Medicare Facts for Dr. James W. Small, MD


National Provider Identifier [NPI]: 1336168095
Last Name Of The Provider SMALL
First Name Of The Provider JAMES
Middle Initial Of The Provider W
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1512 W KIRBY PL
Street Address 2 Of The Provider DEPARTMENT OF EMERGENCY MEDICINE
City Of The Provider SHREVEPORT
Zip Code Of The Provider 711033822
State Code Of The Provider LA
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 10
Number Of Services 208
Number Of Medicare Beneficiaries 189
Total Submitted Charge Amount 150212
Total Medicare Allowed Amount 26957.33
Total Medicare Payment Amount 21050.01
Total Medicare Standardized Payment Amount 21364
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 10
Number Of Medical Services 208
Number Of Medicare Beneficiaries With Medical Services 189
Total Medical Submitted Charge Amount 150212
Total Medical Medicare Allowed Amount 26957.33
Total Medical Medicare Payment Amount 21050.01
Total Medical Medicare Standardized Payment Amount 21364
Average Age Of Beneficiaries 59
Number Of Beneficiaries Age Less65 111
Number Of Beneficiaries Age 65 to 74 45
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 103
Number Of Male Beneficiaries 86
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 127
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 44
Number Of Beneficiaries With Medicare Medicaid Entitlement 145
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 13
Percent Of With Cancer 8
Percent Of With Heart Failure 33
Percent Of With Chronic Kidney Disease 36
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 43
Percent Of With Diabetes 47
Percent Of With Hyperlipidemia 42
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders 19
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 2.0988

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