National Provider Identifier [NPI]: |
1457388985 |
Last Name Of The Provider |
THOMAS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
145 PICKWICK ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
383721953 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
12520 |
Number Of Medicare Beneficiaries |
779 |
Total Submitted Charge Amount |
1048657.53 |
Total Medicare Allowed Amount |
471009.84 |
Total Medicare Payment Amount |
332382.83 |
Total Medicare Standardized Payment Amount |
372531.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
1723 |
Number Of Medicare Beneficiaries With Drug Services |
422 |
Total Drug Submitted ChargeAmount |
29655.89 |
Total Drug Medicare AllowedAmount |
7427.19 |
Total Drug Medicare PaymentAmount |
5795.81 |
Total Drug Medicare Standardized Payment Amount |
5795.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
10797 |
Number Of Medicare Beneficiaries With Medical Services |
779 |
Total Medical Submitted Charge Amount |
1019001.64 |
Total Medical Medicare Allowed Amount |
463582.65 |
Total Medical Medicare Payment Amount |
326587.02 |
Total Medical Medicare Standardized Payment Amount |
366735.74 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
328 |
Number Of Beneficiaries Age 75 to 84 |
224 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
434 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
742 |
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 |
536 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
243 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1496 |