Medicare Facts for Dr. Ron James, MD


National Provider Identifier [NPI]: 1437237104
Last Name Of The Provider JAMES
First Name Of The Provider RON
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 3160 FOLSOM BLVD
Street Address 2 Of The Provider
City Of The Provider SACRAMENTO
Zip Code Of The Provider 958165219
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 60
Number Of Services 515
Number Of Medicare Beneficiaries 181
Total Submitted Charge Amount 542387
Total Medicare Allowed Amount 149516.24
Total Medicare Payment Amount 116073.91
Total Medicare Standardized Payment Amount 115558.26
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 56
Number Of Medicare Beneficiaries With Drug Services 18
Total Drug Submitted ChargeAmount 8582
Total Drug Medicare AllowedAmount 1590.44
Total Drug Medicare PaymentAmount 1246.86
Total Drug Medicare Standardized Payment Amount 1246.86
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 57
Number Of Medical Services 459
Number Of Medicare Beneficiaries With Medical Services 181
Total Medical Submitted Charge Amount 533805
Total Medical Medicare Allowed Amount 147925.8
Total Medical Medicare Payment Amount 114827.05
Total Medical Medicare Standardized Payment Amount 114311.4
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 67
Number Of Beneficiaries Age 65 to 74 59
Number Of Beneficiaries Age 75 to 84 36
Number Of Beneficiaries Age Greater 84 19
Number Of Female Beneficiaries 118
Number Of Male Beneficiaries 63
Number Of Non Hispanic White Beneficiaries 111
Number Of Black or African American Beneficiaries 38
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 17
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 81
Number Of Beneficiaries With Medicare Medicaid Entitlement 100
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 10
Percent Of With Cancer 9
Percent Of With Heart Failure 24
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 28
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 73
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.443

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