Medicare Facts for Dr. Robert E. James, MD


National Provider Identifier [NPI]: 1558380683
Last Name Of The Provider JAMES
First Name Of The Provider ROBERT
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 121 SOTOYOME ST
Street Address 2 Of The Provider SUITE 201
City Of The Provider SANTA ROSA
Zip Code Of The Provider 954054823
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 66
Number Of Services 2290
Number Of Medicare Beneficiaries 624
Total Submitted Charge Amount 607162.14
Total Medicare Allowed Amount 260670.17
Total Medicare Payment Amount 190183.78
Total Medicare Standardized Payment Amount 185474.29
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 82
Number Of Medicare Beneficiaries With Drug Services 22
Total Drug Submitted ChargeAmount 72329
Total Drug Medicare AllowedAmount 12460.69
Total Drug Medicare PaymentAmount 9590.13
Total Drug Medicare Standardized Payment Amount 9590.13
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 63
Number Of Medical Services 2208
Number Of Medicare Beneficiaries With Medical Services 624
Total Medical Submitted Charge Amount 534833.14
Total Medical Medicare Allowed Amount 248209.48
Total Medical Medicare Payment Amount 180593.65
Total Medical Medicare Standardized Payment Amount 175884.16
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 48
Number Of Beneficiaries Age 65 to 74 219
Number Of Beneficiaries Age 75 to 84 226
Number Of Beneficiaries Age Greater 84 131
Number Of Female Beneficiaries 177
Number Of Male Beneficiaries 447
Number Of Non Hispanic White Beneficiaries 575
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 34
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 547
Number Of Beneficiaries With Medicare Medicaid Entitlement 77
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 4
Percent Of With Cancer 20
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 19
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.2659

Doctor Directory | TOS | twitter | FB | Angel | blog