Medicare Facts for James W. Clifton, LMFT


National Provider Identifier [NPI]: 1609880103
Last Name Of The Provider CLIFTON
First Name Of The Provider JAMES
Middle Initial Of The Provider D
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 305 KITE RD
Street Address 2 Of The Provider
City Of The Provider SWAINSBORO
Zip Code Of The Provider 304015771
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 79
Number Of Services 2968
Number Of Medicare Beneficiaries 419
Total Submitted Charge Amount 220130
Total Medicare Allowed Amount 153681.47
Total Medicare Payment Amount 104681.29
Total Medicare Standardized Payment Amount 112573.02
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 148
Number Of Medicare Beneficiaries With Drug Services 81
Total Drug Submitted ChargeAmount 3130
Total Drug Medicare AllowedAmount 1029.39
Total Drug Medicare PaymentAmount 918.28
Total Drug Medicare Standardized Payment Amount 918.28
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 70
Number Of Medical Services 2820
Number Of Medicare Beneficiaries With Medical Services 419
Total Medical Submitted Charge Amount 217000
Total Medical Medicare Allowed Amount 152652.08
Total Medical Medicare Payment Amount 103763.01
Total Medical Medicare Standardized Payment Amount 111654.74
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 89
Number Of Beneficiaries Age 65 to 74 189
Number Of Beneficiaries Age 75 to 84 99
Number Of Beneficiaries Age Greater 84 42
Number Of Female Beneficiaries 226
Number Of Male Beneficiaries 193
Number Of Non Hispanic White Beneficiaries 375
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 287
Number Of Beneficiaries With Medicare Medicaid Entitlement 132
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 4
Percent Of With Cancer 5
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 16
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 45
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.0863

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