Medicare Facts for Dr. James M. Bloom, DDS


National Provider Identifier [NPI]: 1982692802
Last Name Of The Provider BLOOM
First Name Of The Provider JAMES
Middle Initial Of The Provider C
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2050 2ND ST SE
Street Address 2 Of The Provider
City Of The Provider KIRTLAND AFB
Zip Code Of The Provider 871175524
State Code Of The Provider NM
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 8
Number Of Services 632
Number Of Medicare Beneficiaries 265
Total Submitted Charge Amount 51313
Total Medicare Allowed Amount 41603.66
Total Medicare Payment Amount 28345.39
Total Medicare Standardized Payment Amount 29160.71
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 8
Number Of Medical Services 632
Number Of Medicare Beneficiaries With Medical Services 265
Total Medical Submitted Charge Amount 51313
Total Medical Medicare Allowed Amount 41603.66
Total Medical Medicare Payment Amount 28345.39
Total Medical Medicare Standardized Payment Amount 29160.71
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 31
Number Of Beneficiaries Age 65 to 74 88
Number Of Beneficiaries Age 75 to 84 98
Number Of Beneficiaries Age Greater 84 48
Number Of Female Beneficiaries 146
Number Of Male Beneficiaries 119
Number Of Non Hispanic White Beneficiaries 194
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 56
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 231
Number Of Beneficiaries With Medicare Medicaid Entitlement 34
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 6
Percent Of With Cancer 9
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 21
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.1896

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