Medicare Facts for Dr. James M. Isernia, MD


National Provider Identifier [NPI]: 1144281148
Last Name Of The Provider ISERNIA
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 319 HOSPITAL DR
Street Address 2 Of The Provider SUITE 201
City Of The Provider MARTINSVILLE
Zip Code Of The Provider 241121929
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 81
Number Of Services 9372
Number Of Medicare Beneficiaries 1948
Total Submitted Charge Amount 815092.22
Total Medicare Allowed Amount 369734.36
Total Medicare Payment Amount 259902.05
Total Medicare Standardized Payment Amount 269713.16
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 1958
Number Of Medicare Beneficiaries With Drug Services 437
Total Drug Submitted ChargeAmount 47046
Total Drug Medicare AllowedAmount 18476.76
Total Drug Medicare PaymentAmount 15014.48
Total Drug Medicare Standardized Payment Amount 15014.48
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 70
Number Of Medical Services 7414
Number Of Medicare Beneficiaries With Medical Services 1948
Total Medical Submitted Charge Amount 768046.22
Total Medical Medicare Allowed Amount 351257.6
Total Medical Medicare Payment Amount 244887.57
Total Medical Medicare Standardized Payment Amount 254698.68
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 389
Number Of Beneficiaries Age 65 to 74 659
Number Of Beneficiaries Age 75 to 84 608
Number Of Beneficiaries Age Greater 84 292
Number Of Female Beneficiaries 1120
Number Of Male Beneficiaries 828
Number Of Non Hispanic White Beneficiaries 1561
Number Of Black or African American Beneficiaries 362
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 14
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1332
Number Of Beneficiaries With Medicare Medicaid Entitlement 616
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 6
Percent Of With Cancer 14
Percent Of With Heart Failure 30
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 27
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.5758

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