Medicare Facts for Dr. James G. Clark, MD


National Provider Identifier [NPI]: 1902908593
Last Name Of The Provider CLARK
First Name Of The Provider JAMES
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4743 ARAPAHOE AVE
Street Address 2 Of The Provider
City Of The Provider BOULDER
Zip Code Of The Provider 803031123
State Code Of The Provider CO
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 118
Number Of Services 9481
Number Of Medicare Beneficiaries 584
Total Submitted Charge Amount 597518.52
Total Medicare Allowed Amount 470499.23
Total Medicare Payment Amount 354565.22
Total Medicare Standardized Payment Amount 355995.49
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 5389
Number Of Medicare Beneficiaries With Drug Services 42
Total Drug Submitted ChargeAmount 134627.46
Total Drug Medicare AllowedAmount 126267.86
Total Drug Medicare PaymentAmount 98519.76
Total Drug Medicare Standardized Payment Amount 98519.76
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 111
Number Of Medical Services 4092
Number Of Medicare Beneficiaries With Medical Services 584
Total Medical Submitted Charge Amount 462891.06
Total Medical Medicare Allowed Amount 344231.37
Total Medical Medicare Payment Amount 256045.46
Total Medical Medicare Standardized Payment Amount 257475.73
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 275
Number Of Beneficiaries Age 75 to 84 215
Number Of Beneficiaries Age Greater 84 68
Number Of Female Beneficiaries 104
Number Of Male Beneficiaries 480
Number Of Non Hispanic White Beneficiaries 540
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 15
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 17
Number Of Beneficiaries With Medicare Only Entitlement 558
Number Of Beneficiaries With Medicare Medicaid Entitlement 26
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 5
Percent Of With Cancer 23
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 14
Percent Of With Diabetes 16
Percent Of With Hyperlipidemia 35
Percent Of With Hypertension 44
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0188

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