Medicare Facts for James T. Figueroa, FNP


National Provider Identifier [NPI]: 1407895592
Last Name Of The Provider FIGUEROA
First Name Of The Provider JAMES
Middle Initial Of The Provider P
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 56 HOLDEN ST
Street Address 2 Of The Provider
City Of The Provider WORCESTER
Zip Code Of The Provider 016053142
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 1635
Number Of Medicare Beneficiaries 142
Total Submitted Charge Amount 124680
Total Medicare Allowed Amount 75703.71
Total Medicare Payment Amount 46156.16
Total Medicare Standardized Payment Amount 46561.58
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 1060
Number Of Medicare Beneficiaries With Drug Services 39
Total Drug Submitted ChargeAmount 40200
Total Drug Medicare AllowedAmount 30099.77
Total Drug Medicare PaymentAmount 16230.87
Total Drug Medicare Standardized Payment Amount 16230.87
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 8
Number Of Medical Services 575
Number Of Medicare Beneficiaries With Medical Services 142
Total Medical Submitted Charge Amount 84480
Total Medical Medicare Allowed Amount 45603.94
Total Medical Medicare Payment Amount 29925.29
Total Medical Medicare Standardized Payment Amount 30330.71
Average Age Of Beneficiaries 63
Number Of Beneficiaries Age Less65 75
Number Of Beneficiaries Age 65 to 74 35
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 107
Number Of Male Beneficiaries 35
Number Of Non Hispanic White Beneficiaries 121
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 73
Number Of Beneficiaries With Medicare Medicaid Entitlement 69
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 12
Percent Of With Cancer
Percent Of With Heart Failure 8
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 35
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 40
Percent Of With Hypertension 46
Percent Of With Ischemic Heart Disease 15
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 70
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9803

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