National Provider Identifier [NPI]: |
1295722288 |
Last Name Of The Provider |
CHAMBERS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5100 GATEWAY CTR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485073927 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
7071 |
Number Of Medicare Beneficiaries |
1533 |
Total Submitted Charge Amount |
1134618.4 |
Total Medicare Allowed Amount |
706077.65 |
Total Medicare Payment Amount |
533633.78 |
Total Medicare Standardized Payment Amount |
556344.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
587 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
36534 |
Total Drug Medicare AllowedAmount |
29758.49 |
Total Drug Medicare PaymentAmount |
23215.46 |
Total Drug Medicare Standardized Payment Amount |
23215.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
6484 |
Number Of Medicare Beneficiaries With Medical Services |
1533 |
Total Medical Submitted Charge Amount |
1098084.4 |
Total Medical Medicare Allowed Amount |
676319.16 |
Total Medical Medicare Payment Amount |
510418.32 |
Total Medical Medicare Standardized Payment Amount |
533129 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
262 |
Number Of Beneficiaries Age 65 to 74 |
553 |
Number Of Beneficiaries Age 75 to 84 |
473 |
Number Of Beneficiaries Age Greater 84 |
245 |
Number Of Female Beneficiaries |
809 |
Number Of Male Beneficiaries |
724 |
Number Of Non Hispanic White Beneficiaries |
1249 |
Number Of Black or African American Beneficiaries |
238 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1237 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
296 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.031 |