Medicare Facts for Dr. James K. Abshire, MD


National Provider Identifier [NPI]: 1790794972
Last Name Of The Provider ABSHIRE
First Name Of The Provider JAMES
Middle Initial Of The Provider K
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3000 Q ST
Street Address 2 Of The Provider
City Of The Provider SACRAMENTO
Zip Code Of The Provider 958167058
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 45
Number Of Services 2339
Number Of Medicare Beneficiaries 430
Total Submitted Charge Amount 477629.75
Total Medicare Allowed Amount 159204.04
Total Medicare Payment Amount 107178.44
Total Medicare Standardized Payment Amount 102461.91
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 14
Number Of Drug Services 343
Number Of Medicare Beneficiaries With Drug Services 148
Total Drug Submitted ChargeAmount 15654.75
Total Drug Medicare AllowedAmount 4458.02
Total Drug Medicare PaymentAmount 4176.78
Total Drug Medicare Standardized Payment Amount 4176.78
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 31
Number Of Medical Services 1996
Number Of Medicare Beneficiaries With Medical Services 430
Total Medical Submitted Charge Amount 461975
Total Medical Medicare Allowed Amount 154746.02
Total Medical Medicare Payment Amount 103001.66
Total Medical Medicare Standardized Payment Amount 98285.13
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 46
Number Of Beneficiaries Age 65 to 74 198
Number Of Beneficiaries Age 75 to 84 120
Number Of Beneficiaries Age Greater 84 66
Number Of Female Beneficiaries 228
Number Of Male Beneficiaries 202
Number Of Non Hispanic White Beneficiaries 325
Number Of Black or African American Beneficiaries 47
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 34
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 369
Number Of Beneficiaries With Medicare Medicaid Entitlement 61
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 8
Percent Of With Cancer 11
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 23
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.0573

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