Medicare Facts for Dr. James A. Rial, MD


National Provider Identifier [NPI]: 1841293826
Last Name Of The Provider RIAL
First Name Of The Provider JAMES
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 31455 WINTERPLACE PKWY
Street Address 2 Of The Provider
City Of The Provider SALISBURY
Zip Code Of The Provider 218041891
State Code Of The Provider MD
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 49
Number Of Services 26728
Number Of Medicare Beneficiaries 2202
Total Submitted Charge Amount 8544201.82
Total Medicare Allowed Amount 5857460.17
Total Medicare Payment Amount 4515730.26
Total Medicare Standardized Payment Amount 4499000.9
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 8319
Number Of Medicare Beneficiaries With Drug Services 477
Total Drug Submitted ChargeAmount 4367364
Total Drug Medicare AllowedAmount 3994728.24
Total Drug Medicare PaymentAmount 3119381.87
Total Drug Medicare Standardized Payment Amount 3119381.87
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 43
Number Of Medical Services 18409
Number Of Medicare Beneficiaries With Medical Services 2202
Total Medical Submitted Charge Amount 4176837.82
Total Medical Medicare Allowed Amount 1862731.93
Total Medical Medicare Payment Amount 1396348.39
Total Medical Medicare Standardized Payment Amount 1379619.03
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 161
Number Of Beneficiaries Age 65 to 74 859
Number Of Beneficiaries Age 75 to 84 737
Number Of Beneficiaries Age Greater 84 445
Number Of Female Beneficiaries 1221
Number Of Male Beneficiaries 981
Number Of Non Hispanic White Beneficiaries 1875
Number Of Black or African American Beneficiaries 264
Number Of AsianPacific Islander Beneficiaries 13
Number Of Hispanic Beneficiaries 26
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 24
Number Of Beneficiaries With Medicare Only Entitlement 1903
Number Of Beneficiaries With Medicare Medicaid Entitlement 299
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 6
Percent Of With Cancer 11
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 14
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 73
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.3666

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