Medicare Facts for Dr. Alton B. James, MD


National Provider Identifier [NPI]: 1649210386
Last Name Of The Provider JAMES
First Name Of The Provider ALTON
Middle Initial Of The Provider B
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1700 SPRINGHILL AVE
Street Address 2 Of The Provider SUITE 100
City Of The Provider MOBILE
Zip Code Of The Provider 366041407
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 110
Number Of Services 5365
Number Of Medicare Beneficiaries 495
Total Submitted Charge Amount 245925
Total Medicare Allowed Amount 138625.79
Total Medicare Payment Amount 102710.37
Total Medicare Standardized Payment Amount 110492.45
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 14
Number Of Drug Services 658
Number Of Medicare Beneficiaries With Drug Services 198
Total Drug Submitted ChargeAmount 9253
Total Drug Medicare AllowedAmount 7012.11
Total Drug Medicare PaymentAmount 6132.67
Total Drug Medicare Standardized Payment Amount 6132.67
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 96
Number Of Medical Services 4707
Number Of Medicare Beneficiaries With Medical Services 495
Total Medical Submitted Charge Amount 236672
Total Medical Medicare Allowed Amount 131613.68
Total Medical Medicare Payment Amount 96577.7
Total Medical Medicare Standardized Payment Amount 104359.78
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 237
Number Of Beneficiaries Age 75 to 84 182
Number Of Beneficiaries Age Greater 84 52
Number Of Female Beneficiaries 269
Number Of Male Beneficiaries 226
Number Of Non Hispanic White Beneficiaries 443
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 476
Number Of Beneficiaries With Medicare Medicaid Entitlement 19
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 6
Percent Of With Cancer 11
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 7
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 0.9314

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