National Provider Identifier [NPI]: |
1598818734 |
Last Name Of The Provider |
EIRING |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
CRNA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3658 J DEWEY GRAY CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUGUSTA |
Zip Code Of The Provider |
309096424 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
CRNA |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
8 |
Number Of Services |
2226 |
Number Of Medicare Beneficiaries |
1538 |
Total Submitted Charge Amount |
981260 |
Total Medicare Allowed Amount |
323608.4 |
Total Medicare Payment Amount |
250779.92 |
Total Medicare Standardized Payment Amount |
260077.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
2226 |
Number Of Medicare Beneficiaries With Medical Services |
1538 |
Total Medical Submitted Charge Amount |
981260 |
Total Medical Medicare Allowed Amount |
323608.4 |
Total Medical Medicare Payment Amount |
250779.92 |
Total Medical Medicare Standardized Payment Amount |
260077.19 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
885 |
Number Of Beneficiaries Age 75 to 84 |
459 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
928 |
Number Of Male Beneficiaries |
610 |
Number Of Non Hispanic White Beneficiaries |
1233 |
Number Of Black or African American Beneficiaries |
254 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1427 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.913 |