Medicare Facts for Dr. James L. Hess, DO


National Provider Identifier [NPI]: 1336273226
Last Name Of The Provider HESS
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 3002 N COUNTRY CLUB RD
Street Address 2 Of The Provider
City Of The Provider TUCSON
Zip Code Of The Provider 857161603
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 32
Number Of Services 453
Number Of Medicare Beneficiaries 98
Total Submitted Charge Amount 56632.5
Total Medicare Allowed Amount 29689.9
Total Medicare Payment Amount 20544.01
Total Medicare Standardized Payment Amount 20720.45
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 108
Number Of Medicare Beneficiaries With Drug Services 57
Total Drug Submitted ChargeAmount 4517.5
Total Drug Medicare AllowedAmount 3055.89
Total Drug Medicare PaymentAmount 2373.07
Total Drug Medicare Standardized Payment Amount 2373.07
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 345
Number Of Medicare Beneficiaries With Medical Services 98
Total Medical Submitted Charge Amount 52115
Total Medical Medicare Allowed Amount 26634.01
Total Medical Medicare Payment Amount 18170.94
Total Medical Medicare Standardized Payment Amount 18347.38
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 58
Number Of Beneficiaries Age 75 to 84 27
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 56
Number Of Male Beneficiaries 42
Number Of Non Hispanic White Beneficiaries 86
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 13
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 70
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7165

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