National Provider Identifier [NPI]: |
1255334280 |
Last Name Of The Provider |
HENSARLING |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4436 MANGUM DR. |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
FLOWOOD |
Zip Code Of The Provider |
39232 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
15400 |
Number Of Medicare Beneficiaries |
700 |
Total Submitted Charge Amount |
1047415 |
Total Medicare Allowed Amount |
347623.84 |
Total Medicare Payment Amount |
268823.26 |
Total Medicare Standardized Payment Amount |
283658.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
753 |
Number Of Medicare Beneficiaries With Drug Services |
177 |
Total Drug Submitted ChargeAmount |
295281 |
Total Drug Medicare AllowedAmount |
89172.5 |
Total Drug Medicare PaymentAmount |
69587.27 |
Total Drug Medicare Standardized Payment Amount |
69587.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
14647 |
Number Of Medicare Beneficiaries With Medical Services |
700 |
Total Medical Submitted Charge Amount |
752134 |
Total Medical Medicare Allowed Amount |
258451.34 |
Total Medical Medicare Payment Amount |
199235.99 |
Total Medical Medicare Standardized Payment Amount |
214071.34 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
298 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
575 |
Number Of Male Beneficiaries |
125 |
Number Of Non Hispanic White Beneficiaries |
534 |
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 |
582 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0145 |