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Terry Matthew James

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NPI Number Detailed Information

Provider Information:

Name: Terry Matthew James
Gender: M
Provider License Number If Given: L-2816

NPI Information:

NPI: 1225250640
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/3/2007

Last Update Date: 7/27/2015

Reputation Report:

Provider Business Mailing Address:

Address: 16356 COUNTY ROAD 41
Addison, AL 35540
Phone Number: 2567471186
Fax Number: 2567471196

Provider Business Practice Location Address:

Address: 16356 COUNTY ROAD 41
Addison, AL 35540
Phone Number: 2567471186
Fax Number: 2567471196

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any): 207Q00000X
State: AL

Top Doctors in AL

 

About Terry Matthew James

Terry Matthew James ( TERRY MATTHEW JAMES ) is Family Family Medicine Physician in Addison, AL. The NPI Number for Terry Matthew James is 1225250640.
The current location address for Terry Matthew James is 16356 COUNTY ROAD 41 Addison, AL 35540 and the contact number is 2567471186 and fax number is 2567471196. The mailing address for Terry Matthew James is 16356 COUNTY ROAD 41 Addison, AL 35540- 2567471186 (mailing address contact number - 2567471186).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Terry Matthew James ?


Answer: The NPI Number for Terry Matthew James is 1225250640

Where is Terry Matthew James located?


Answer: Terry Matthew James is located at 16356 COUNTY ROAD 41 Addison, AL 35540.

What is the specialty for Terry Matthew James ?


Answer: The Specialty of Terry Matthew James is Family Family Medicine Physician.

Are there any online reviews for Terry Matthew James ?


Answer: Yes! Check It Now.

Are there any other health care providers in Addison, AL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Terry Matthew James

Number of HCPCS 72
Number of Medicare Beneficiaries 391
Number of Services 5759.5
Total Submitted Charge Amount 278308.95
Total Medicare Allowed Amount 199839.93
Total Medicare Payment Amount 143017.37
Total Medicare Standardized Payment Amount 159242.1
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 11
Number of Medicare Beneficiaries With Drug Services 222
Number of Drug Services 2231.5
Total Drug Submitted Charge Amount 20488
Total Drug Medicare Allowed Amount 9026.06
Total Drug Medicare Payment Amount 8753.09
Total Drug Medicare Standardized Payment Amount 8582.83
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 61
Number of Medicare Beneficiaries With Medical 391
Number of Medical Services 3528
Total Medical Submitted Charge Amount 257820.95
Total Medical Medicare Allowed Amount 190813.87
Total Medical Medicare Payment Amount 134264.28
Total Medical Medicare Standardized Payment Amount 150659.27
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 39
Number of Beneficiaries Age 65 to 74 190
Number of Beneficiaries Age 75 to 84 113
Number of Beneficiaries Age Greater 84 49
Number of Female Beneficiaries 199
Number of Male Beneficiaries 192
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 80
Number of Beneficiaries With Medicare Only Entitlement 311
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.07
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.08
Percent (%) of Beneficiaries Identified With Heart Failure 0.24
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.21
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.13
Percent (%) of Beneficiaries Identified With Depression 0.1
Percent (%) of Beneficiaries Identified With Diabetes 0.38
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.49
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.36
Percent (%) of Beneficiaries Identified With Osteoporosis 0.05
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.34
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.05
Average HCC Risk Score of Beneficiaries 1.0095

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 11657
Number of Standardized 30-Day Fills 19937.2
Aggregate Cost Paid for All Claims 818427.29
Number of Day's Supply for All Claims 566301
Number of Medicare Beneficiaries 672
Number of Claims, Including Refills, for Beneficiaries Age 65+ 9301
Including Refills, for Beneficiaries Age 65+ 16088.033333
Beneficiaries Age 65+ 574989.06
Number of Day's Supply for All Claims for Beneficaries Age 65+ 457349
Number of Medicare Beneficiaries Age 65+ 568
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1344
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 10138
Aggregate Cost Paid for Generic Drugs 204824.96
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 175
Aggregate Cost Paid for Other Drugs 11185.99
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 6727
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 473948.31
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 4930
Aggregate Cost Paid for Claims Filled by 344478.98
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 4735
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 412286.27
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 6922
by Low-Income Subsidy 406141.02
Total Claims of Opioid Drugs, Including 1060
Aggregate Cost Paid for Opioid Drugs 21786.96
Opioid Claims 164
Opioid_Tot_Clms divided by the Tot_Clms 9.0932486918
Total Claims of Long-Acting Opioid Drugs 12
Aggregate Cost Paid for Long-Acting Opioid 279.26
Number of Day's Supply of All Long-Acting 385
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 1.1320754717
Total Claims of Antibiotic Drugs, Including 509
Aggregate Cost Paid for Antibiotic Drugs 8266.46
Antibiotic Claims 272
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 43
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 1616.79
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 12
Average Age of Beneficiaries 71.788690476
Number of Beneficiaries Age Less Than 65 104
Number of Beneficiaries Age 65 to 74 331
Number of Beneficiaries Age 75 to 84 176
Number of Female Beneficiaries 379
Number of Male Beneficiaries 293
Number of Non-Hispanic White 664
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 509
Average Hierarchical Condition Category 1.0523956714

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