Medicare Facts for Dr. James W. Whetstone, MD


National Provider Identifier [NPI]: 1336197474
Last Name Of The Provider WHETSTONE
First Name Of The Provider JAMES
Middle Initial Of The Provider W
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 12135 LANCASTER ST.
Street Address 2 Of The Provider
City Of The Provider MILLERSPORT
Zip Code Of The Provider 430460218
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 61
Number Of Services 2078
Number Of Medicare Beneficiaries 282
Total Submitted Charge Amount 139433
Total Medicare Allowed Amount 109572.85
Total Medicare Payment Amount 75988.42
Total Medicare Standardized Payment Amount 80845.45
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 447
Number Of Medicare Beneficiaries With Drug Services 154
Total Drug Submitted ChargeAmount 6478
Total Drug Medicare AllowedAmount 3235.47
Total Drug Medicare PaymentAmount 3029.73
Total Drug Medicare Standardized Payment Amount 3029.73
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 54
Number Of Medical Services 1631
Number Of Medicare Beneficiaries With Medical Services 282
Total Medical Submitted Charge Amount 132955
Total Medical Medicare Allowed Amount 106337.38
Total Medical Medicare Payment Amount 72958.69
Total Medical Medicare Standardized Payment Amount 77815.72
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 47
Number Of Beneficiaries Age 65 to 74 107
Number Of Beneficiaries Age 75 to 84 92
Number Of Beneficiaries Age Greater 84 36
Number Of Female Beneficiaries 152
Number Of Male Beneficiaries 130
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 234
Number Of Beneficiaries With Medicare Medicaid Entitlement 48
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 4
Percent Of With Cancer 7
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 20
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 0.9012

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