Medicare Facts for Dr. James N. Rachel, MD


National Provider Identifier [NPI]: 1609096486
Last Name Of The Provider RACHEL
First Name Of The Provider JAMES
Middle Initial Of The Provider N
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6144 AIRPORT BLVD
Street Address 2 Of The Provider
City Of The Provider MOBILE
Zip Code Of The Provider 366083143
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 147
Number Of Services 1869
Number Of Medicare Beneficiaries 380
Total Submitted Charge Amount 340799
Total Medicare Allowed Amount 151080.99
Total Medicare Payment Amount 110888.72
Total Medicare Standardized Payment Amount 123539.56
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 159
Number Of Medicare Beneficiaries With Drug Services 82
Total Drug Submitted ChargeAmount 3866
Total Drug Medicare AllowedAmount 1388.55
Total Drug Medicare PaymentAmount 1039.7
Total Drug Medicare Standardized Payment Amount 1039.7
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 141
Number Of Medical Services 1710
Number Of Medicare Beneficiaries With Medical Services 380
Total Medical Submitted Charge Amount 336933
Total Medical Medicare Allowed Amount 149692.44
Total Medical Medicare Payment Amount 109849.02
Total Medical Medicare Standardized Payment Amount 122499.86
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 82
Number Of Beneficiaries Age 65 to 74 144
Number Of Beneficiaries Age 75 to 84 105
Number Of Beneficiaries Age Greater 84 49
Number Of Female Beneficiaries 243
Number Of Male Beneficiaries 137
Number Of Non Hispanic White Beneficiaries 305
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 319
Number Of Beneficiaries With Medicare Medicaid Entitlement 61
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 7
Percent Of With Cancer 11
Percent Of With Heart Failure 23
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 20
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.3361

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