Medicare Facts for Dr. James M. Zehner, MD


National Provider Identifier [NPI]: 1851405567
Last Name Of The Provider ZEHNER
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 231 N MAIN ST
Street Address 2 Of The Provider
City Of The Provider PLEASANTVILLE
Zip Code Of The Provider 163419722
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 72
Number Of Services 1710
Number Of Medicare Beneficiaries 346
Total Submitted Charge Amount 165546
Total Medicare Allowed Amount 120507.26
Total Medicare Payment Amount 81965
Total Medicare Standardized Payment Amount 84183.68
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 169
Number Of Medicare Beneficiaries With Drug Services 139
Total Drug Submitted ChargeAmount 5450
Total Drug Medicare AllowedAmount 3381.59
Total Drug Medicare PaymentAmount 3279.01
Total Drug Medicare Standardized Payment Amount 3279.01
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 66
Number Of Medical Services 1541
Number Of Medicare Beneficiaries With Medical Services 346
Total Medical Submitted Charge Amount 160096
Total Medical Medicare Allowed Amount 117125.67
Total Medical Medicare Payment Amount 78685.99
Total Medical Medicare Standardized Payment Amount 80904.67
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 22
Number Of Beneficiaries Age 65 to 74 132
Number Of Beneficiaries Age 75 to 84 120
Number Of Beneficiaries Age Greater 84 72
Number Of Female Beneficiaries 197
Number Of Male Beneficiaries 149
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 302
Number Of Beneficiaries With Medicare Medicaid Entitlement 44
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 4
Percent Of With Cancer 9
Percent Of With Heart Failure 23
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 17
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 30
Percent Of With Hypertension 49
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 27
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.0802

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