Medicare Facts for Dr. James E. Bates, MD


National Provider Identifier [NPI]: 1174692206
Last Name Of The Provider BATES
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 5555 RESERVOIR DR STE 104
Street Address 2 Of The Provider
City Of The Provider SAN DIEGO
Zip Code Of The Provider 921205198
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 108
Number Of Services 2160
Number Of Medicare Beneficiaries 427
Total Submitted Charge Amount 785335
Total Medicare Allowed Amount 249527.06
Total Medicare Payment Amount 189191.77
Total Medicare Standardized Payment Amount 183669.3
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 326
Number Of Medicare Beneficiaries With Drug Services 138
Total Drug Submitted ChargeAmount 22493
Total Drug Medicare AllowedAmount 7735.49
Total Drug Medicare PaymentAmount 5780.8
Total Drug Medicare Standardized Payment Amount 5780.8
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 102
Number Of Medical Services 1834
Number Of Medicare Beneficiaries With Medical Services 427
Total Medical Submitted Charge Amount 762842
Total Medical Medicare Allowed Amount 241791.57
Total Medical Medicare Payment Amount 183410.97
Total Medical Medicare Standardized Payment Amount 177888.5
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 33
Number Of Beneficiaries Age 65 to 74 171
Number Of Beneficiaries Age 75 to 84 148
Number Of Beneficiaries Age Greater 84 75
Number Of Female Beneficiaries 268
Number Of Male Beneficiaries 159
Number Of Non Hispanic White Beneficiaries 350
Number Of Black or African American Beneficiaries 24
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 33
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 335
Number Of Beneficiaries With Medicare Medicaid Entitlement 92
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 11
Percent Of With Cancer 10
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 21
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.2223

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