Medicare Facts for Dr. John B. James, MD


National Provider Identifier [NPI]: 1174682108
Last Name Of The Provider JAMES
First Name Of The Provider JOHN
Middle Initial Of The Provider B
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1580 N 2ND ST
Street Address 2 Of The Provider
City Of The Provider EL CAJON
Zip Code Of The Provider 920213447
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 44
Number Of Services 1073
Number Of Medicare Beneficiaries 246
Total Submitted Charge Amount 76467
Total Medicare Allowed Amount 56479.6
Total Medicare Payment Amount 42442.88
Total Medicare Standardized Payment Amount 41893.76
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 118
Number Of Medicare Beneficiaries With Drug Services 102
Total Drug Submitted ChargeAmount 3684
Total Drug Medicare AllowedAmount 2283.96
Total Drug Medicare PaymentAmount 2235.14
Total Drug Medicare Standardized Payment Amount 2235.14
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 37
Number Of Medical Services 955
Number Of Medicare Beneficiaries With Medical Services 246
Total Medical Submitted Charge Amount 72783
Total Medical Medicare Allowed Amount 54195.64
Total Medical Medicare Payment Amount 40207.74
Total Medical Medicare Standardized Payment Amount 39658.62
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 39
Number Of Beneficiaries Age 65 to 74 99
Number Of Beneficiaries Age 75 to 84 73
Number Of Beneficiaries Age Greater 84 35
Number Of Female Beneficiaries 139
Number Of Male Beneficiaries 107
Number Of Non Hispanic White Beneficiaries 220
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 13
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 206
Number Of Beneficiaries With Medicare Medicaid Entitlement 40
Percent Of With Atrial Fibrillation 5
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma
Percent Of With Cancer 5
Percent Of With Heart Failure 24
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 12
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 32
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 25
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9162

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