Medicare Facts for Dr. James M. Heun, MD


National Provider Identifier [NPI]: 1497713697
Last Name Of The Provider HEUN
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1200 JOHN Q HAMMONS DR
Street Address 2 Of The Provider SUITE 400
City Of The Provider MADISON
Zip Code Of The Provider 537171959
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 160
Number Of Services 60381
Number Of Medicare Beneficiaries 391
Total Submitted Charge Amount 2877793.55
Total Medicare Allowed Amount 1119975.2
Total Medicare Payment Amount 874062.36
Total Medicare Standardized Payment Amount 877338.23
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 66
Number Of Drug Services 55045
Number Of Medicare Beneficiaries With Drug Services 139
Total Drug Submitted ChargeAmount 1968654.5
Total Drug Medicare AllowedAmount 891179.04
Total Drug Medicare PaymentAmount 698498.93
Total Drug Medicare Standardized Payment Amount 698498.93
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 94
Number Of Medical Services 5336
Number Of Medicare Beneficiaries With Medical Services 391
Total Medical Submitted Charge Amount 909139.05
Total Medical Medicare Allowed Amount 228796.16
Total Medical Medicare Payment Amount 175563.43
Total Medical Medicare Standardized Payment Amount 178839.3
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 42
Number Of Beneficiaries Age 65 to 74 181
Number Of Beneficiaries Age 75 to 84 127
Number Of Beneficiaries Age Greater 84 41
Number Of Female Beneficiaries 210
Number Of Male Beneficiaries 181
Number Of Non Hispanic White Beneficiaries 368
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 325
Number Of Beneficiaries With Medicare Medicaid Entitlement 66
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 7
Percent Of With Cancer 45
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 20
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 47
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.585

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