Medicare Facts for James D. Carson


National Provider Identifier [NPI]: 1518927672
Last Name Of The Provider CARSON
First Name Of The Provider JAMES
Middle Initial Of The Provider H
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 170 N POINTE BLVD
Street Address 2 Of The Provider
City Of The Provider LANCASTER
Zip Code Of The Provider 176014132
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 126
Number Of Services 3021
Number Of Medicare Beneficiaries 403
Total Submitted Charge Amount 590010.6
Total Medicare Allowed Amount 181812.3
Total Medicare Payment Amount 143555.04
Total Medicare Standardized Payment Amount 150889.79
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 1527
Number Of Medicare Beneficiaries With Drug Services 77
Total Drug Submitted ChargeAmount 43317.9
Total Drug Medicare AllowedAmount 15059.06
Total Drug Medicare PaymentAmount 11593.63
Total Drug Medicare Standardized Payment Amount 11593.63
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 123
Number Of Medical Services 1494
Number Of Medicare Beneficiaries With Medical Services 403
Total Medical Submitted Charge Amount 546692.7
Total Medical Medicare Allowed Amount 166753.24
Total Medical Medicare Payment Amount 131961.41
Total Medical Medicare Standardized Payment Amount 139296.16
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 54
Number Of Beneficiaries Age 65 to 74 133
Number Of Beneficiaries Age 75 to 84 115
Number Of Beneficiaries Age Greater 84 101
Number Of Female Beneficiaries 255
Number Of Male Beneficiaries 148
Number Of Non Hispanic White Beneficiaries 382
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 349
Number Of Beneficiaries With Medicare Medicaid Entitlement 54
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 28
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 17
Percent Of With Rheumatoid Arthritis Osteoarthritis 64
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.3604

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