National Provider Identifier [NPI]: |
1437129244 |
Last Name Of The Provider |
ADAMETZ |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5201 NORTHSHORE DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
NORTH LITTLE ROCK |
Zip Code Of The Provider |
721185312 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurosurgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
2143 |
Number Of Medicare Beneficiaries |
491 |
Total Submitted Charge Amount |
2720888 |
Total Medicare Allowed Amount |
320305.15 |
Total Medicare Payment Amount |
240381.1 |
Total Medicare Standardized Payment Amount |
267793.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
534 |
Number Of Medicare Beneficiaries With Drug Services |
132 |
Total Drug Submitted ChargeAmount |
16024 |
Total Drug Medicare AllowedAmount |
3047.08 |
Total Drug Medicare PaymentAmount |
2279.26 |
Total Drug Medicare Standardized Payment Amount |
2279.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
1609 |
Number Of Medicare Beneficiaries With Medical Services |
491 |
Total Medical Submitted Charge Amount |
2704864 |
Total Medical Medicare Allowed Amount |
317258.07 |
Total Medical Medicare Payment Amount |
238101.84 |
Total Medical Medicare Standardized Payment Amount |
265513.94 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
289 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
452 |
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 |
419 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9889 |