Medicare Facts for Dr. Roland W. James, MD


National Provider Identifier [NPI]: 1841511524
Last Name Of The Provider JAMES
First Name Of The Provider ROLAND
Middle Initial Of The Provider W
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2401 UNIVERSITY AVE
Street Address 2 Of The Provider
City Of The Provider MUNCIE
Zip Code Of The Provider 473033428
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 75
Number Of Services 1756
Number Of Medicare Beneficiaries 689
Total Submitted Charge Amount 257273
Total Medicare Allowed Amount 140907.04
Total Medicare Payment Amount 101070.82
Total Medicare Standardized Payment Amount 107478.92
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 14
Number Of Drug Services 343
Number Of Medicare Beneficiaries With Drug Services 91
Total Drug Submitted ChargeAmount 4877
Total Drug Medicare AllowedAmount 991.22
Total Drug Medicare PaymentAmount 837.66
Total Drug Medicare Standardized Payment Amount 837.66
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 61
Number Of Medical Services 1413
Number Of Medicare Beneficiaries With Medical Services 688
Total Medical Submitted Charge Amount 252396
Total Medical Medicare Allowed Amount 139915.82
Total Medical Medicare Payment Amount 100233.16
Total Medical Medicare Standardized Payment Amount 106641.26
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 74
Number Of Beneficiaries Age 65 to 74 282
Number Of Beneficiaries Age 75 to 84 199
Number Of Beneficiaries Age Greater 84 134
Number Of Female Beneficiaries 448
Number Of Male Beneficiaries 241
Number Of Non Hispanic White Beneficiaries 561
Number Of Black or African American Beneficiaries 108
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 627
Number Of Beneficiaries With Medicare Medicaid Entitlement 62
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 4
Percent Of With Cancer 11
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 19
Percent Of With Diabetes 18
Percent Of With Hyperlipidemia 42
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.9766

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