Medicare Facts for Dr. James P. Stone, MD


National Provider Identifier [NPI]: 1083658496
Last Name Of The Provider STONE
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 2415 MCCALLIE AVE
Street Address 2 Of The Provider
City Of The Provider CHATTANOOGA
Zip Code Of The Provider 374043322
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 79
Number Of Services 3717
Number Of Medicare Beneficiaries 701
Total Submitted Charge Amount 692363
Total Medicare Allowed Amount 216965.97
Total Medicare Payment Amount 156822.38
Total Medicare Standardized Payment Amount 172582.39
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 1172
Number Of Medicare Beneficiaries With Drug Services 215
Total Drug Submitted ChargeAmount 23748
Total Drug Medicare AllowedAmount 13068
Total Drug Medicare PaymentAmount 10242.89
Total Drug Medicare Standardized Payment Amount 10242.89
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 74
Number Of Medical Services 2545
Number Of Medicare Beneficiaries With Medical Services 701
Total Medical Submitted Charge Amount 668615
Total Medical Medicare Allowed Amount 203897.97
Total Medical Medicare Payment Amount 146579.49
Total Medical Medicare Standardized Payment Amount 162339.5
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 89
Number Of Beneficiaries Age 65 to 74 327
Number Of Beneficiaries Age 75 to 84 216
Number Of Beneficiaries Age Greater 84 69
Number Of Female Beneficiaries 428
Number Of Male Beneficiaries 273
Number Of Non Hispanic White Beneficiaries 679
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 577
Number Of Beneficiaries With Medicare Medicaid Entitlement 124
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 11
Percent Of With Cancer 8
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 20
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.1005

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