Medicare Facts for Dr. James H. Essell, MD


National Provider Identifier [NPI]: 1265425078
Last Name Of The Provider ESSELL
First Name Of The Provider JAMES
Middle Initial Of The Provider H
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4725 E GALBRAITH RD
Street Address 2 Of The Provider STE 320
City Of The Provider CINCINNATI
Zip Code Of The Provider 452362725
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 107
Number Of Services 73299
Number Of Medicare Beneficiaries 381
Total Submitted Charge Amount 2527058.9
Total Medicare Allowed Amount 1046241.05
Total Medicare Payment Amount 817879.62
Total Medicare Standardized Payment Amount 827507.6
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 49
Number Of Drug Services 67965
Number Of Medicare Beneficiaries With Drug Services 149
Total Drug Submitted ChargeAmount 1681257.9
Total Drug Medicare AllowedAmount 809834.52
Total Drug Medicare PaymentAmount 634140.68
Total Drug Medicare Standardized Payment Amount 634140.68
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 58
Number Of Medical Services 5334
Number Of Medicare Beneficiaries With Medical Services 380
Total Medical Submitted Charge Amount 845801
Total Medical Medicare Allowed Amount 236406.53
Total Medical Medicare Payment Amount 183738.94
Total Medical Medicare Standardized Payment Amount 193366.92
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 54
Number Of Beneficiaries Age 65 to 74 199
Number Of Beneficiaries Age 75 to 84 95
Number Of Beneficiaries Age Greater 84 33
Number Of Female Beneficiaries 202
Number Of Male Beneficiaries 179
Number Of Non Hispanic White Beneficiaries 328
Number Of Black or African American Beneficiaries 41
Number Of AsianPacific Islander Beneficiaries
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 330
Number Of Beneficiaries With Medicare Medicaid Entitlement 51
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 7
Percent Of With Cancer 27
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 19
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 2.2406

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