Medicare Facts for Dr. James P. Higgins, MD


National Provider Identifier [NPI]: 1144284357
Last Name Of The Provider HIGGINS
First Name Of The Provider JAMES
Middle Initial Of The Provider P
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3333 N CALVERT ST
Street Address 2 Of The Provider 2ND FL
City Of The Provider BALTIMORE
Zip Code Of The Provider 212182867
State Code Of The Provider MD
Country Code Of The Provider US
Provider Type Of The Provider Plastic and Reconstructive Surgery
Medicare Participation Indicator Y
Number Of HCPCS 89
Number Of Services 1325
Number Of Medicare Beneficiaries 335
Total Submitted Charge Amount 349712
Total Medicare Allowed Amount 140006.38
Total Medicare Payment Amount 105709.05
Total Medicare Standardized Payment Amount 93705.56
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 424
Number Of Medicare Beneficiaries With Drug Services 141
Total Drug Submitted ChargeAmount 10476
Total Drug Medicare AllowedAmount 7377.3
Total Drug Medicare PaymentAmount 5778.18
Total Drug Medicare Standardized Payment Amount 5778.18
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 87
Number Of Medical Services 901
Number Of Medicare Beneficiaries With Medical Services 335
Total Medical Submitted Charge Amount 339236
Total Medical Medicare Allowed Amount 132629.08
Total Medical Medicare Payment Amount 99930.87
Total Medical Medicare Standardized Payment Amount 87927.38
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 34
Number Of Beneficiaries Age 65 to 74 171
Number Of Beneficiaries Age 75 to 84 87
Number Of Beneficiaries Age Greater 84 43
Number Of Female Beneficiaries 208
Number Of Male Beneficiaries 127
Number Of Non Hispanic White Beneficiaries 298
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 314
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 8
Percent Of With Cancer 11
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 18
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 56
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9865

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