Medicare Facts for Dr. James D. Tovey, MD


National Provider Identifier [NPI]: 1053315986
Last Name Of The Provider TOVEY
First Name Of The Provider JAMES
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1081 ROUTE 22 W
Street Address 2 Of The Provider
City Of The Provider BRIDGEWATER
Zip Code Of The Provider 08807
State Code Of The Provider NJ
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 123
Number Of Services 1840
Number Of Medicare Beneficiaries 522
Total Submitted Charge Amount 355554.57
Total Medicare Allowed Amount 261522.67
Total Medicare Payment Amount 200364.03
Total Medicare Standardized Payment Amount 182137.48
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 192
Number Of Medicare Beneficiaries With Drug Services 71
Total Drug Submitted ChargeAmount 393.61
Total Drug Medicare AllowedAmount 338.23
Total Drug Medicare PaymentAmount 237.33
Total Drug Medicare Standardized Payment Amount 237.33
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 122
Number Of Medical Services 1648
Number Of Medicare Beneficiaries With Medical Services 522
Total Medical Submitted Charge Amount 355160.96
Total Medical Medicare Allowed Amount 261184.44
Total Medical Medicare Payment Amount 200126.7
Total Medical Medicare Standardized Payment Amount 181900.15
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 38
Number Of Beneficiaries Age 65 to 74 167
Number Of Beneficiaries Age 75 to 84 195
Number Of Beneficiaries Age Greater 84 122
Number Of Female Beneficiaries 351
Number Of Male Beneficiaries 171
Number Of Non Hispanic White Beneficiaries 479
Number Of Black or African American Beneficiaries 11
Number Of AsianPacific Islander Beneficiaries 16
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 465
Number Of Beneficiaries With Medicare Medicaid Entitlement 57
Percent Of With Atrial Fibrillation 20
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 9
Percent Of With Cancer 13
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 19
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 44
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 67
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.3092

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