Medicare Facts for Dr. James J. Tess, MD


National Provider Identifier [NPI]: 1629016803
Last Name Of The Provider TESS
First Name Of The Provider JAMES
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 16511 106TH CT
Street Address 2 Of The Provider
City Of The Provider ORLAND PARK
Zip Code Of The Provider 604674545
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 54
Number Of Services 3422
Number Of Medicare Beneficiaries 465
Total Submitted Charge Amount 213485.4
Total Medicare Allowed Amount 208133.71
Total Medicare Payment Amount 152684.04
Total Medicare Standardized Payment Amount 147565.16
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 201
Number Of Medicare Beneficiaries With Drug Services 87
Total Drug Submitted ChargeAmount 1624.33
Total Drug Medicare AllowedAmount 1526.94
Total Drug Medicare PaymentAmount 1419.85
Total Drug Medicare Standardized Payment Amount 1419.85
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 47
Number Of Medical Services 3221
Number Of Medicare Beneficiaries With Medical Services 465
Total Medical Submitted Charge Amount 211861.07
Total Medical Medicare Allowed Amount 206606.77
Total Medical Medicare Payment Amount 151264.19
Total Medical Medicare Standardized Payment Amount 146145.31
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 226
Number Of Beneficiaries Age 75 to 84 145
Number Of Beneficiaries Age Greater 84 68
Number Of Female Beneficiaries 249
Number Of Male Beneficiaries 216
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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 452
Number Of Beneficiaries With Medicare Medicaid Entitlement 13
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 4
Percent Of With Cancer 13
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 12
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 71
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.1796

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