Medicare Facts for Dr. Catherine T. James, MD


National Provider Identifier [NPI]: 1851352132
Last Name Of The Provider JAMES
First Name Of The Provider CATHERINE
Middle Initial Of The Provider T
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 5618 ODANA RD
Street Address 2 Of The Provider
City Of The Provider MADISON
Zip Code Of The Provider 537191208
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 111
Number Of Services 1796
Number Of Medicare Beneficiaries 269
Total Submitted Charge Amount 179675
Total Medicare Allowed Amount 51108.83
Total Medicare Payment Amount 39350.32
Total Medicare Standardized Payment Amount 40441.03
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 13
Number Of Drug Services 60
Number Of Medicare Beneficiaries With Drug Services 49
Total Drug Submitted ChargeAmount 3432
Total Drug Medicare AllowedAmount 2077.38
Total Drug Medicare PaymentAmount 1983.54
Total Drug Medicare Standardized Payment Amount 1983.54
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 98
Number Of Medical Services 1736
Number Of Medicare Beneficiaries With Medical Services 269
Total Medical Submitted Charge Amount 176243
Total Medical Medicare Allowed Amount 49031.45
Total Medical Medicare Payment Amount 37366.78
Total Medical Medicare Standardized Payment Amount 38457.49
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 36
Number Of Beneficiaries Age 65 to 74 111
Number Of Beneficiaries Age 75 to 84 72
Number Of Beneficiaries Age Greater 84 50
Number Of Female Beneficiaries 191
Number Of Male Beneficiaries 78
Number Of Non Hispanic White Beneficiaries 252
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 224
Number Of Beneficiaries With Medicare Medicaid Entitlement 45
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 10
Percent Of With Cancer 10
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 26
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 40
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 25
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.1785

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