Medicare Facts for Dr. James R. Malcolm, MD


National Provider Identifier [NPI]: 1740283431
Last Name Of The Provider MALCOLM
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 300 TOWER RD NE
Street Address 2 Of The Provider STE 200
City Of The Provider MARIETTA
Zip Code Of The Provider 300609403
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 139
Number Of Services 2284.5
Number Of Medicare Beneficiaries 376
Total Submitted Charge Amount 1361895.67
Total Medicare Allowed Amount 431595.13
Total Medicare Payment Amount 330329.67
Total Medicare Standardized Payment Amount 316143.81
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 162.5
Number Of Medicare Beneficiaries With Drug Services 55
Total Drug Submitted ChargeAmount 2277
Total Drug Medicare AllowedAmount 349.06
Total Drug Medicare PaymentAmount 271.72
Total Drug Medicare Standardized Payment Amount 271.72
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 134
Number Of Medical Services 2122
Number Of Medicare Beneficiaries With Medical Services 376
Total Medical Submitted Charge Amount 1359618.67
Total Medical Medicare Allowed Amount 431246.07
Total Medical Medicare Payment Amount 330057.95
Total Medical Medicare Standardized Payment Amount 315872.09
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 56
Number Of Beneficiaries Age 65 to 74 172
Number Of Beneficiaries Age 75 to 84 112
Number Of Beneficiaries Age Greater 84 36
Number Of Female Beneficiaries 259
Number Of Male Beneficiaries 117
Number Of Non Hispanic White Beneficiaries 335
Number Of Black or African American Beneficiaries 25
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 340
Number Of Beneficiaries With Medicare Medicaid Entitlement 36
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 11
Percent Of With Cancer 13
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 28
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 17
Percent Of With Rheumatoid Arthritis Osteoarthritis 69
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.4017

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