Medicare Facts for Dr. James Dooner, MD


National Provider Identifier [NPI]: 1962474643
Last Name Of The Provider DOONER
First Name Of The Provider JAMES
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 801 W 38TH ST
Street Address 2 Of The Provider SUITE 200
City Of The Provider AUSTIN
Zip Code Of The Provider 787051169
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 59
Number Of Services 17718
Number Of Medicare Beneficiaries 1219
Total Submitted Charge Amount 5680115.4
Total Medicare Allowed Amount 2457821.58
Total Medicare Payment Amount 1877743.66
Total Medicare Standardized Payment Amount 1897711.23
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 9623
Number Of Medicare Beneficiaries With Drug Services 402
Total Drug Submitted ChargeAmount 3241220.4
Total Drug Medicare AllowedAmount 1611302.81
Total Drug Medicare PaymentAmount 1244391.24
Total Drug Medicare Standardized Payment Amount 1244391.24
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 50
Number Of Medical Services 8095
Number Of Medicare Beneficiaries With Medical Services 1219
Total Medical Submitted Charge Amount 2438895
Total Medical Medicare Allowed Amount 846518.77
Total Medical Medicare Payment Amount 633352.42
Total Medical Medicare Standardized Payment Amount 653319.99
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 124
Number Of Beneficiaries Age 65 to 74 479
Number Of Beneficiaries Age 75 to 84 378
Number Of Beneficiaries Age Greater 84 238
Number Of Female Beneficiaries 725
Number Of Male Beneficiaries 494
Number Of Non Hispanic White Beneficiaries 999
Number Of Black or African American Beneficiaries 61
Number Of AsianPacific Islander Beneficiaries 18
Number Of Hispanic Beneficiaries 127
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1056
Number Of Beneficiaries With Medicare Medicaid Entitlement 163
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 6
Percent Of With Cancer 8
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 17
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.3982

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