Medicare Facts for Dr. Paul E. Sheffield, MD


National Provider Identifier [NPI]: 1093783672
Last Name Of The Provider SHEFFIELD
First Name Of The Provider PAUL
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 969 LAKELAND DR
Street Address 2 Of The Provider
City Of The Provider JACKSON
Zip Code Of The Provider 392164606
State Code Of The Provider MS
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 85
Number Of Services 5240
Number Of Medicare Beneficiaries 302
Total Submitted Charge Amount 388927.85
Total Medicare Allowed Amount 114385.87
Total Medicare Payment Amount 76426.61
Total Medicare Standardized Payment Amount 85171.45
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 23
Number Of Drug Services 1483
Number Of Medicare Beneficiaries With Drug Services 162
Total Drug Submitted ChargeAmount 43048.85
Total Drug Medicare AllowedAmount 5150.48
Total Drug Medicare PaymentAmount 3582.28
Total Drug Medicare Standardized Payment Amount 3582.28
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 62
Number Of Medical Services 3757
Number Of Medicare Beneficiaries With Medical Services 302
Total Medical Submitted Charge Amount 345879
Total Medical Medicare Allowed Amount 109235.39
Total Medical Medicare Payment Amount 72844.33
Total Medical Medicare Standardized Payment Amount 81589.17
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 44
Number Of Beneficiaries Age 65 to 74 115
Number Of Beneficiaries Age 75 to 84 98
Number Of Beneficiaries Age Greater 84 45
Number Of Female Beneficiaries 192
Number Of Male Beneficiaries 110
Number Of Non Hispanic White Beneficiaries 256
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 242
Number Of Beneficiaries With Medicare Medicaid Entitlement 60
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 21
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.2149

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