National Provider Identifier [NPI]: |
1588661789 |
Last Name Of The Provider |
JAMES |
First Name Of The Provider |
MAURICE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
971 LAKELAND DR |
Street Address 2 Of The Provider |
STE 563 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392164607 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
2518 |
Number Of Medicare Beneficiaries |
891 |
Total Submitted Charge Amount |
738385 |
Total Medicare Allowed Amount |
322656.37 |
Total Medicare Payment Amount |
231079.35 |
Total Medicare Standardized Payment Amount |
253365.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
3450 |
Total Drug Medicare AllowedAmount |
2976.68 |
Total Drug Medicare PaymentAmount |
2192.13 |
Total Drug Medicare Standardized Payment Amount |
2192.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2472 |
Number Of Medicare Beneficiaries With Medical Services |
891 |
Total Medical Submitted Charge Amount |
734935 |
Total Medical Medicare Allowed Amount |
319679.69 |
Total Medical Medicare Payment Amount |
228887.22 |
Total Medical Medicare Standardized Payment Amount |
251173.64 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
396 |
Number Of Beneficiaries Age 75 to 84 |
257 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
626 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
839 |
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 |
627 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
264 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4475 |