Medicare Facts for James L. Pool


National Provider Identifier [NPI]: 1245310663
Last Name Of The Provider POOL
First Name Of The Provider JAMES
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6620 MAIN ST
Street Address 2 Of The Provider
City Of The Provider HOUSTON
Zip Code Of The Provider 770302348
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Endocrinology
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 82
Number Of Medicare Beneficiaries 32
Total Submitted Charge Amount 9254
Total Medicare Allowed Amount 4830.33
Total Medicare Payment Amount 4335.58
Total Medicare Standardized Payment Amount 4335.19
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 33
Number Of Medicare Beneficiaries With Drug Services 28
Total Drug Submitted ChargeAmount 3139
Total Drug Medicare AllowedAmount 2008.86
Total Drug Medicare PaymentAmount 1968.64
Total Drug Medicare Standardized Payment Amount 1968.64
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 7
Number Of Medical Services 49
Number Of Medicare Beneficiaries With Medical Services 32
Total Medical Submitted Charge Amount 6115
Total Medical Medicare Allowed Amount 2821.47
Total Medical Medicare Payment Amount 2366.94
Total Medical Medicare Standardized Payment Amount 2366.55
Average Age Of Beneficiaries 79
Number Of Beneficiaries Age Less65 0
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84 14
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 17
Number Of Male Beneficiaries 15
Number Of Non Hispanic White Beneficiaries 32
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement 32
Number Of Beneficiaries With Medicare Medicaid Entitlement 0
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 34
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8747

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