National Provider Identifier [NPI]: |
1043386931 |
Last Name Of The Provider |
MCCABE |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2996 7TH AVE |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
MARION |
Zip Code Of The Provider |
523023713 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
510 |
Number Of Medicare Beneficiaries |
419 |
Total Submitted Charge Amount |
60498 |
Total Medicare Allowed Amount |
33046.13 |
Total Medicare Payment Amount |
22183.37 |
Total Medicare Standardized Payment Amount |
24505.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
522 |
Total Drug Medicare AllowedAmount |
199.45 |
Total Drug Medicare PaymentAmount |
177.01 |
Total Drug Medicare Standardized Payment Amount |
177.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
485 |
Number Of Medicare Beneficiaries With Medical Services |
418 |
Total Medical Submitted Charge Amount |
59976 |
Total Medical Medicare Allowed Amount |
32846.68 |
Total Medical Medicare Payment Amount |
22006.36 |
Total Medical Medicare Standardized Payment Amount |
24328.02 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
274 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
405 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
327 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0364 |