Medicare Facts for Dr. James W. Stone, MD


National Provider Identifier [NPI]: 1295839298
Last Name Of The Provider STONE
First Name Of The Provider JAMES
Middle Initial Of The Provider W
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3237 S 16TH ST
Street Address 2 Of The Provider SUITE 210
City Of The Provider MILWAUKEE
Zip Code Of The Provider 532154526
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 54
Number Of Services 1834
Number Of Medicare Beneficiaries 433
Total Submitted Charge Amount 1289450.61
Total Medicare Allowed Amount 196313.58
Total Medicare Payment Amount 151854.63
Total Medicare Standardized Payment Amount 156557.27
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 499
Number Of Medicare Beneficiaries With Drug Services 212
Total Drug Submitted ChargeAmount 105387
Total Drug Medicare AllowedAmount 26906.56
Total Drug Medicare PaymentAmount 21020.39
Total Drug Medicare Standardized Payment Amount 21020.39
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 52
Number Of Medical Services 1335
Number Of Medicare Beneficiaries With Medical Services 433
Total Medical Submitted Charge Amount 1184063.61
Total Medical Medicare Allowed Amount 169407.02
Total Medical Medicare Payment Amount 130834.24
Total Medical Medicare Standardized Payment Amount 135536.88
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 56
Number Of Beneficiaries Age 65 to 74 217
Number Of Beneficiaries Age 75 to 84 122
Number Of Beneficiaries Age Greater 84 38
Number Of Female Beneficiaries 259
Number Of Male Beneficiaries 174
Number Of Non Hispanic White Beneficiaries 382
Number Of Black or African American Beneficiaries 15
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 22
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 389
Number Of Beneficiaries With Medicare Medicaid Entitlement 44
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 4
Percent Of With Asthma 9
Percent Of With Cancer 7
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 16
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9229

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