Medicare Facts for James L. Sinclair, LMFT


National Provider Identifier [NPI]: 1356300230
Last Name Of The Provider SINCLAIR
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 9850 GENESEE AVE
Street Address 2 Of The Provider STE 830
City Of The Provider LA JOLLA
Zip Code Of The Provider 920371224
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 132
Number Of Services 97917
Number Of Medicare Beneficiaries 509
Total Submitted Charge Amount 5087080.64
Total Medicare Allowed Amount 1844447.17
Total Medicare Payment Amount 1444447.65
Total Medicare Standardized Payment Amount 1432812.88
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 68
Number Of Drug Services 92822
Number Of Medicare Beneficiaries With Drug Services 152
Total Drug Submitted ChargeAmount 4320867.58
Total Drug Medicare AllowedAmount 1544423.72
Total Drug Medicare PaymentAmount 1210235.13
Total Drug Medicare Standardized Payment Amount 1210235.13
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 64
Number Of Medical Services 5095
Number Of Medicare Beneficiaries With Medical Services 508
Total Medical Submitted Charge Amount 766213.06
Total Medical Medicare Allowed Amount 300023.45
Total Medical Medicare Payment Amount 234212.52
Total Medical Medicare Standardized Payment Amount 222577.75
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 20
Number Of Beneficiaries Age 65 to 74 226
Number Of Beneficiaries Age 75 to 84 172
Number Of Beneficiaries Age Greater 84 91
Number Of Female Beneficiaries 313
Number Of Male Beneficiaries 196
Number Of Non Hispanic White Beneficiaries 446
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 25
Number Of Hispanic Beneficiaries 18
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 471
Number Of Beneficiaries With Medicare Medicaid Entitlement 38
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 5
Percent Of With Cancer 52
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 16
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 56
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.702

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