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 |