National Provider Identifier [NPI]: |
1447288923 |
Last Name Of The Provider |
JAMES |
First Name Of The Provider |
NAREN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
107 METKER TRL |
Street Address 2 Of The Provider |
|
City Of The Provider |
STANFORD |
Zip Code Of The Provider |
404841049 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
3610 |
Number Of Medicare Beneficiaries |
537 |
Total Submitted Charge Amount |
173409 |
Total Medicare Allowed Amount |
86836.37 |
Total Medicare Payment Amount |
69817.49 |
Total Medicare Standardized Payment Amount |
72902.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1699.5 |
Total Drug Medicare AllowedAmount |
657.66 |
Total Drug Medicare PaymentAmount |
630.68 |
Total Drug Medicare Standardized Payment Amount |
630.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
3567 |
Number Of Medicare Beneficiaries With Medical Services |
535 |
Total Medical Submitted Charge Amount |
171709.5 |
Total Medical Medicare Allowed Amount |
86178.71 |
Total Medical Medicare Payment Amount |
69186.81 |
Total Medical Medicare Standardized Payment Amount |
72271.98 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
252 |
Number Of Beneficiaries Age 65 to 74 |
161 |
Number Of Beneficiaries Age 75 to 84 |
92 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
298 |
Number Of Male Beneficiaries |
239 |
Number Of Non Hispanic White Beneficiaries |
511 |
Number Of Black or African American Beneficiaries |
14 |
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 |
188 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
349 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4483 |