National Provider Identifier [NPI]: |
1245239607 |
Last Name Of The Provider |
BIGGERSTAFF |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2140 KINGSLEY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORANGE PARK |
Zip Code Of The Provider |
320735180 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
1295 |
Number Of Medicare Beneficiaries |
441 |
Total Submitted Charge Amount |
130945 |
Total Medicare Allowed Amount |
83959.76 |
Total Medicare Payment Amount |
60182.16 |
Total Medicare Standardized Payment Amount |
61751.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
120 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
2078 |
Total Drug Medicare AllowedAmount |
303.55 |
Total Drug Medicare PaymentAmount |
211.25 |
Total Drug Medicare Standardized Payment Amount |
211.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
1175 |
Number Of Medicare Beneficiaries With Medical Services |
440 |
Total Medical Submitted Charge Amount |
128867 |
Total Medical Medicare Allowed Amount |
83656.21 |
Total Medical Medicare Payment Amount |
59970.91 |
Total Medical Medicare Standardized Payment Amount |
61539.89 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
303 |
Number Of Male Beneficiaries |
138 |
Number Of Non Hispanic White Beneficiaries |
341 |
Number Of Black or African American Beneficiaries |
79 |
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 |
344 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1428 |