Medicare Facts for Dr. James A. Foley, MD


National Provider Identifier [NPI]: 1659467132
Last Name Of The Provider FOLEY
First Name Of The Provider JAMES
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1111 DELAFIELD ST
Street Address 2 Of The Provider SUITE 120
City Of The Provider WAUKESHA
Zip Code Of The Provider 531883417
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 125
Number Of Services 2030
Number Of Medicare Beneficiaries 406
Total Submitted Charge Amount 702338.6
Total Medicare Allowed Amount 159869.98
Total Medicare Payment Amount 122117.47
Total Medicare Standardized Payment Amount 128737.72
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 716
Number Of Medicare Beneficiaries With Drug Services 164
Total Drug Submitted ChargeAmount 2181.6
Total Drug Medicare AllowedAmount 1276
Total Drug Medicare PaymentAmount 983.71
Total Drug Medicare Standardized Payment Amount 983.71
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 124
Number Of Medical Services 1314
Number Of Medicare Beneficiaries With Medical Services 406
Total Medical Submitted Charge Amount 700157
Total Medical Medicare Allowed Amount 158593.98
Total Medical Medicare Payment Amount 121133.76
Total Medical Medicare Standardized Payment Amount 127754.01
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 34
Number Of Beneficiaries Age 65 to 74 190
Number Of Beneficiaries Age 75 to 84 127
Number Of Beneficiaries Age Greater 84 55
Number Of Female Beneficiaries 237
Number Of Male Beneficiaries 169
Number Of Non Hispanic White Beneficiaries 391
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 375
Number Of Beneficiaries With Medicare Medicaid Entitlement 31
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 9
Percent Of With Cancer 11
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 17
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 52
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.0392

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