Medicare Facts for Dr. James D. Balger, DO


National Provider Identifier [NPI]: 1104857556
Last Name Of The Provider BALGER
First Name Of The Provider JAMES
Middle Initial Of The Provider D
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 135 LAKE ST
Street Address 2 Of The Provider MIDMICHIGAN MEDICAL OFFICES- ROSCOMMON
City Of The Provider ROSCOMMON
Zip Code Of The Provider 486537658
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider General Practice
Medicare Participation Indicator Y
Number Of HCPCS 41
Number Of Services 852
Number Of Medicare Beneficiaries 239
Total Submitted Charge Amount 69368
Total Medicare Allowed Amount 48293.35
Total Medicare Payment Amount 32365.15
Total Medicare Standardized Payment Amount 34496.68
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 25
Number Of Medicare Beneficiaries With Drug Services 14
Total Drug Submitted ChargeAmount 520
Total Drug Medicare AllowedAmount 323.86
Total Drug Medicare PaymentAmount 282.49
Total Drug Medicare Standardized Payment Amount 282.49
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 37
Number Of Medical Services 827
Number Of Medicare Beneficiaries With Medical Services 239
Total Medical Submitted Charge Amount 68848
Total Medical Medicare Allowed Amount 47969.49
Total Medical Medicare Payment Amount 32082.66
Total Medical Medicare Standardized Payment Amount 34214.19
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 122
Number Of Beneficiaries Age 75 to 84 63
Number Of Beneficiaries Age Greater 84 28
Number Of Female Beneficiaries 110
Number Of Male Beneficiaries 129
Number Of Non Hispanic White Beneficiaries
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 218
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma
Percent Of With Cancer 7
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 12
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 20
Percent Of With Hypertension 44
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9263

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