Medicare Facts for Dr. James H. Esther, MD


National Provider Identifier [NPI]: 1609838309
Last Name Of The Provider ESTHER
First Name Of The Provider JAMES
Middle Initial Of The Provider H
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 226 S WOODS MILL RD
Street Address 2 Of The Provider SUITE 43 WEST
City Of The Provider CHESTERFIELD
Zip Code Of The Provider 630173662
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 31
Number Of Services 2992
Number Of Medicare Beneficiaries 958
Total Submitted Charge Amount 538582
Total Medicare Allowed Amount 273192.11
Total Medicare Payment Amount 187119.65
Total Medicare Standardized Payment Amount 194963.25
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 73
Number Of Medicare Beneficiaries With Drug Services 22
Total Drug Submitted ChargeAmount 2263
Total Drug Medicare AllowedAmount 833.55
Total Drug Medicare PaymentAmount 777.4
Total Drug Medicare Standardized Payment Amount 777.4
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 2919
Number Of Medicare Beneficiaries With Medical Services 958
Total Medical Submitted Charge Amount 536319
Total Medical Medicare Allowed Amount 272358.56
Total Medical Medicare Payment Amount 186342.25
Total Medical Medicare Standardized Payment Amount 194185.85
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 68
Number Of Beneficiaries Age 65 to 74 450
Number Of Beneficiaries Age 75 to 84 303
Number Of Beneficiaries Age Greater 84 137
Number Of Female Beneficiaries 567
Number Of Male Beneficiaries 391
Number Of Non Hispanic White Beneficiaries 892
Number Of Black or African American Beneficiaries 40
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 937
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 9
Percent Of With Cancer 12
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 17
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 71
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.1213

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