Medicare Facts for James S. Muse, LPC


National Provider Identifier [NPI]: 1679652762
Last Name Of The Provider MUSE
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2500 STARLING ST
Street Address 2 Of The Provider SUITE 406
City Of The Provider BRUNSWICK
Zip Code Of The Provider 315204265
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 94
Number Of Services 12109
Number Of Medicare Beneficiaries 745
Total Submitted Charge Amount 1020512.3
Total Medicare Allowed Amount 401548.83
Total Medicare Payment Amount 303211.73
Total Medicare Standardized Payment Amount 320255.85
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 6009
Number Of Medicare Beneficiaries With Drug Services 35
Total Drug Submitted ChargeAmount 110730
Total Drug Medicare AllowedAmount 44434.1
Total Drug Medicare PaymentAmount 34824.43
Total Drug Medicare Standardized Payment Amount 34824.43
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 86
Number Of Medical Services 6100
Number Of Medicare Beneficiaries With Medical Services 745
Total Medical Submitted Charge Amount 909782.3
Total Medical Medicare Allowed Amount 357114.73
Total Medical Medicare Payment Amount 268387.3
Total Medical Medicare Standardized Payment Amount 285431.42
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 84
Number Of Beneficiaries Age 65 to 74 376
Number Of Beneficiaries Age 75 to 84 225
Number Of Beneficiaries Age Greater 84 60
Number Of Female Beneficiaries 199
Number Of Male Beneficiaries 546
Number Of Non Hispanic White Beneficiaries 618
Number Of Black or African American Beneficiaries 101
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 12
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 655
Number Of Beneficiaries With Medicare Medicaid Entitlement 90
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 7
Percent Of With Cancer 21
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 17
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.1643

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