Medicare Facts for Dr. James N. Esserman, MD


National Provider Identifier [NPI]: 1699719997
Last Name Of The Provider ESSERMAN
First Name Of The Provider JAMES
Middle Initial Of The Provider N
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 7867 N KENDALL DR
Street Address 2 Of The Provider 2ND FLOOR
City Of The Provider MIAMI
Zip Code Of The Provider 331567735
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Obstetrics/Gynecology
Medicare Participation Indicator Y
Number Of HCPCS 19
Number Of Services 1072
Number Of Medicare Beneficiaries 132
Total Submitted Charge Amount 83342.04
Total Medicare Allowed Amount 24787.67
Total Medicare Payment Amount 19823.78
Total Medicare Standardized Payment Amount 18912.15
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 721
Number Of Medicare Beneficiaries With Drug Services 13
Total Drug Submitted ChargeAmount 20108.04
Total Drug Medicare AllowedAmount 6932.62
Total Drug Medicare PaymentAmount 5089.97
Total Drug Medicare Standardized Payment Amount 5089.97
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 17
Number Of Medical Services 351
Number Of Medicare Beneficiaries With Medical Services 131
Total Medical Submitted Charge Amount 63234
Total Medical Medicare Allowed Amount 17855.05
Total Medical Medicare Payment Amount 14733.81
Total Medical Medicare Standardized Payment Amount 13822.18
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 89
Number Of Beneficiaries Age 75 to 84 31
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 132
Number Of Male Beneficiaries 0
Number Of Non Hispanic White Beneficiaries 83
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 119
Number Of Beneficiaries With Medicare Medicaid Entitlement 13
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 14
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 21
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 27
Percent Of With Rheumatoid Arthritis Osteoarthritis 49
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8508

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