Medicare Facts for Dr. Brian C. James, MD


National Provider Identifier [NPI]: 1740232438
Last Name Of The Provider JAMES
First Name Of The Provider BRIAN
Middle Initial Of The Provider C
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3920 BEE RIDGE RD
Street Address 2 Of The Provider BLG E STE F
City Of The Provider SARASOTA
Zip Code Of The Provider 342331207
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Pain Management
Medicare Participation Indicator Y
Number Of HCPCS 58
Number Of Services 30619
Number Of Medicare Beneficiaries 550
Total Submitted Charge Amount 1417710.88
Total Medicare Allowed Amount 1300479.57
Total Medicare Payment Amount 1129095.42
Total Medicare Standardized Payment Amount 977807.08
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 628
Number Of Medicare Beneficiaries With Drug Services 79
Total Drug Submitted ChargeAmount 4802.72
Total Drug Medicare AllowedAmount 817.93
Total Drug Medicare PaymentAmount 639.27
Total Drug Medicare Standardized Payment Amount 639.27
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 55
Number Of Medical Services 29991
Number Of Medicare Beneficiaries With Medical Services 550
Total Medical Submitted Charge Amount 1412908.16
Total Medical Medicare Allowed Amount 1299661.64
Total Medical Medicare Payment Amount 1128456.15
Total Medical Medicare Standardized Payment Amount 977167.81
Average Age Of Beneficiaries 60
Number Of Beneficiaries Age Less65 370
Number Of Beneficiaries Age 65 to 74 128
Number Of Beneficiaries Age 75 to 84 38
Number Of Beneficiaries Age Greater 84 14
Number Of Female Beneficiaries 289
Number Of Male Beneficiaries 261
Number Of Non Hispanic White Beneficiaries 484
Number Of Black or African American Beneficiaries 43
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 287
Number Of Beneficiaries With Medicare Medicaid Entitlement 263
Percent Of With Atrial Fibrillation 5
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 9
Percent Of With Cancer 4
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 33
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 39
Percent Of With Hypertension 49
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 73
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.3175

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