Medicare Facts for Dr. James Scruggs, MD


National Provider Identifier [NPI]: 1407824089
Last Name Of The Provider SCRUGGS
First Name Of The Provider JAMES
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 1800 N MAIN ST
Street Address 2 Of The Provider
City Of The Provider WHEATON
Zip Code Of The Provider 601873112
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 62
Number Of Services 3857
Number Of Medicare Beneficiaries 798
Total Submitted Charge Amount 438443
Total Medicare Allowed Amount 208347.68
Total Medicare Payment Amount 158609.49
Total Medicare Standardized Payment Amount 150449.04
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 206
Number Of Medicare Beneficiaries With Drug Services 162
Total Drug Submitted ChargeAmount 8864
Total Drug Medicare AllowedAmount 5080.34
Total Drug Medicare PaymentAmount 4933.73
Total Drug Medicare Standardized Payment Amount 4933.73
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 54
Number Of Medical Services 3651
Number Of Medicare Beneficiaries With Medical Services 797
Total Medical Submitted Charge Amount 429579
Total Medical Medicare Allowed Amount 203267.34
Total Medical Medicare Payment Amount 153675.76
Total Medical Medicare Standardized Payment Amount 145515.31
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 28
Number Of Beneficiaries Age 65 to 74 364
Number Of Beneficiaries Age 75 to 84 273
Number Of Beneficiaries Age Greater 84 133
Number Of Female Beneficiaries 352
Number Of Male Beneficiaries 446
Number Of Non Hispanic White Beneficiaries 735
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 20
Number Of Hispanic Beneficiaries 21
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 757
Number Of Beneficiaries With Medicare Medicaid Entitlement 41
Percent Of With Atrial Fibrillation 22
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 6
Percent Of With Cancer 13
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 15
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 45
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.0249

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