National Provider Identifier [NPI]: |
1770628471 |
Last Name Of The Provider |
WARR |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
405 BUTTERCUP DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNTAIN HOME |
Zip Code Of The Provider |
726532910 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
11987 |
Number Of Medicare Beneficiaries |
888 |
Total Submitted Charge Amount |
696956 |
Total Medicare Allowed Amount |
343993.4 |
Total Medicare Payment Amount |
260052.88 |
Total Medicare Standardized Payment Amount |
282221.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1899 |
Number Of Medicare Beneficiaries With Drug Services |
538 |
Total Drug Submitted ChargeAmount |
26046 |
Total Drug Medicare AllowedAmount |
17517.73 |
Total Drug Medicare PaymentAmount |
15131.41 |
Total Drug Medicare Standardized Payment Amount |
15131.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
10088 |
Number Of Medicare Beneficiaries With Medical Services |
888 |
Total Medical Submitted Charge Amount |
670910 |
Total Medical Medicare Allowed Amount |
326475.67 |
Total Medical Medicare Payment Amount |
244921.47 |
Total Medical Medicare Standardized Payment Amount |
267089.85 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
405 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
384 |
Number Of Male Beneficiaries |
504 |
Number Of Non Hispanic White Beneficiaries |
872 |
Number Of Black or African American Beneficiaries |
0 |
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 |
765 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0025 |