Medicare Facts for Dr. James A. Zola, MD


National Provider Identifier [NPI]: 1225081433
Last Name Of The Provider ZOLA
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 201 16TH ST
Street Address 2 Of The Provider
City Of The Provider SELINSGROVE
Zip Code Of The Provider 178709329
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 62
Number Of Services 1695
Number Of Medicare Beneficiaries 389
Total Submitted Charge Amount 197826
Total Medicare Allowed Amount 107792.24
Total Medicare Payment Amount 77913.31
Total Medicare Standardized Payment Amount 83115.88
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 14
Number Of Drug Services 339
Number Of Medicare Beneficiaries With Drug Services 111
Total Drug Submitted ChargeAmount 6800
Total Drug Medicare AllowedAmount 3371.54
Total Drug Medicare PaymentAmount 3065.89
Total Drug Medicare Standardized Payment Amount 3065.89
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 48
Number Of Medical Services 1356
Number Of Medicare Beneficiaries With Medical Services 389
Total Medical Submitted Charge Amount 191026
Total Medical Medicare Allowed Amount 104420.7
Total Medical Medicare Payment Amount 74847.42
Total Medical Medicare Standardized Payment Amount 80049.99
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 112
Number Of Beneficiaries Age 65 to 74 134
Number Of Beneficiaries Age 75 to 84 90
Number Of Beneficiaries Age Greater 84 53
Number Of Female Beneficiaries 225
Number Of Male Beneficiaries 164
Number Of Non Hispanic White Beneficiaries 375
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
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 293
Number Of Beneficiaries With Medicare Medicaid Entitlement 96
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 11
Percent Of With Cancer 9
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 31
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 32
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.3125

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