Medicare Facts for Dr. James Simsarian, MD


National Provider Identifier [NPI]: 1235108986
Last Name Of The Provider SIMSARIAN
First Name Of The Provider JAMES
Middle Initial Of The Provider P
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3020 HAMAKER CT
Street Address 2 Of The Provider SUITE 400
City Of The Provider FAIRFAX
Zip Code Of The Provider 220312238
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Neurology
Medicare Participation Indicator Y
Number Of HCPCS 51
Number Of Services 27763
Number Of Medicare Beneficiaries 1011
Total Submitted Charge Amount 1554673.26
Total Medicare Allowed Amount 846437.95
Total Medicare Payment Amount 528559.41
Total Medicare Standardized Payment Amount 509248.29
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 25359
Number Of Medicare Beneficiaries With Drug Services 20
Total Drug Submitted ChargeAmount 787196.26
Total Drug Medicare AllowedAmount 472658.56
Total Drug Medicare PaymentAmount 265262.31
Total Drug Medicare Standardized Payment Amount 265262.31
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 44
Number Of Medical Services 2404
Number Of Medicare Beneficiaries With Medical Services 1011
Total Medical Submitted Charge Amount 767477
Total Medical Medicare Allowed Amount 373779.39
Total Medical Medicare Payment Amount 263297.1
Total Medical Medicare Standardized Payment Amount 243985.98
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 95
Number Of Beneficiaries Age 65 to 74 399
Number Of Beneficiaries Age 75 to 84 383
Number Of Beneficiaries Age Greater 84 134
Number Of Female Beneficiaries 596
Number Of Male Beneficiaries 415
Number Of Non Hispanic White Beneficiaries 908
Number Of Black or African American Beneficiaries 25
Number Of AsianPacific Islander Beneficiaries 37
Number Of Hispanic Beneficiaries 26
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 15
Number Of Beneficiaries With Medicare Only Entitlement 971
Number Of Beneficiaries With Medicare Medicaid Entitlement 40
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 20
Percent Of With Asthma 8
Percent Of With Cancer 11
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 17
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 18
Average HCC Risk Score Of Beneficiaries 1.1613

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