Medicare Facts for Dr. James M. Guiler, MD


National Provider Identifier [NPI]: 1104816388
Last Name Of The Provider GUILER
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 211 FOUNTAIN CT
Street Address 2 Of The Provider SUITE 310
City Of The Provider LEXINGTON
Zip Code Of The Provider 405091888
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Obstetrics/Gynecology
Medicare Participation Indicator Y
Number Of HCPCS 39
Number Of Services 593
Number Of Medicare Beneficiaries 235
Total Submitted Charge Amount 80939.04
Total Medicare Allowed Amount 54686.67
Total Medicare Payment Amount 40510.84
Total Medicare Standardized Payment Amount 46654.12
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 62
Number Of Medicare Beneficiaries With Drug Services 13
Total Drug Submitted ChargeAmount 43.43
Total Drug Medicare AllowedAmount 38.56
Total Drug Medicare PaymentAmount 30.01
Total Drug Medicare Standardized Payment Amount 30.01
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 38
Number Of Medical Services 531
Number Of Medicare Beneficiaries With Medical Services 235
Total Medical Submitted Charge Amount 80895.61
Total Medical Medicare Allowed Amount 54648.11
Total Medical Medicare Payment Amount 40480.83
Total Medical Medicare Standardized Payment Amount 46624.11
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 50
Number Of Beneficiaries Age 65 to 74 112
Number Of Beneficiaries Age 75 to 84 61
Number Of Beneficiaries Age Greater 84 12
Number Of Female Beneficiaries 235
Number Of Male Beneficiaries 0
Number Of Non Hispanic White Beneficiaries 224
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
Number Of Beneficiaries With Medicare Only Entitlement 201
Number Of Beneficiaries With Medicare Medicaid Entitlement 34
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 6
Percent Of With Chronic Kidney Disease 9
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 27
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7781

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