Medicare Facts for Dr. James E. Appel, MD


National Provider Identifier [NPI]: 1457357204
Last Name Of The Provider APPEL
First Name Of The Provider JAMES
Middle Initial Of The Provider E
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2421 SILVER STREAM LN
Street Address 2 Of The Provider
City Of The Provider WILMINGTON
Zip Code Of The Provider 284017684
State Code Of The Provider NC
Country Code Of The Provider US
Provider Type Of The Provider Dermatology
Medicare Participation Indicator Y
Number Of HCPCS 140
Number Of Services 6744
Number Of Medicare Beneficiaries 1077
Total Submitted Charge Amount 936594
Total Medicare Allowed Amount 371842.97
Total Medicare Payment Amount 273584.97
Total Medicare Standardized Payment Amount 279705.2
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 446
Number Of Medicare Beneficiaries With Drug Services 125
Total Drug Submitted ChargeAmount 9121
Total Drug Medicare AllowedAmount 6822.4
Total Drug Medicare PaymentAmount 5266.2
Total Drug Medicare Standardized Payment Amount 5266.2
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 135
Number Of Medical Services 6298
Number Of Medicare Beneficiaries With Medical Services 1077
Total Medical Submitted Charge Amount 927473
Total Medical Medicare Allowed Amount 365020.57
Total Medical Medicare Payment Amount 268318.77
Total Medical Medicare Standardized Payment Amount 274439
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 64
Number Of Beneficiaries Age 65 to 74 586
Number Of Beneficiaries Age 75 to 84 298
Number Of Beneficiaries Age Greater 84 129
Number Of Female Beneficiaries 488
Number Of Male Beneficiaries 589
Number Of Non Hispanic White Beneficiaries 1018
Number Of Black or African American Beneficiaries 26
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 1019
Number Of Beneficiaries With Medicare Medicaid Entitlement 58
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 4
Percent Of With Cancer 9
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 13
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.9104

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