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James A. Heinrich

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NPI Number Detailed Information

Provider Information:

Name: James A. Heinrich
Gender: M
Provider License Number If Given: G66486

NPI Information:

NPI: 1053321000
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/9/2006

Last Update Date: 7/8/2007

Reputation Report:

Provider Business Mailing Address:

Address: 26730 CROWN VALLEY PKWY STE 250
Mission Viejo, CA 92691
Phone Number: 9493642440
Fax Number: 9493642778

Provider Business Practice Location Address:

Address: 26730 CROWN VALLEY PKWY STE 250
Mission Viejo, CA 92691
Phone Number: 9493642440
Fax Number: 9493642778

Provider Taxonomy:

Primary: 207YX0007X
Secondary (if any):
State: CA

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About James A. Heinrich

James A. Heinrich ( JAMES A. HEINRICH ) is An Otolaryngology Physician in Mission Viejo, CA. The NPI Number for James A. Heinrich is 1053321000.
The current location address for James A. Heinrich is 26730 CROWN VALLEY PKWY STE 250 Mission Viejo, CA 92691 and the contact number is 9493642440 and fax number is 9493642778. The mailing address for James A. Heinrich is 26730 CROWN VALLEY PKWY STE 250 Mission Viejo, CA 92691- 9493642440 (mailing address contact number - 9493642440).
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Provider Business Location on Map

FAQs:

What is the NPI Number for James A. Heinrich ?


Answer: The NPI Number for James A. Heinrich is 1053321000

Where is James A. Heinrich located?


Answer: James A. Heinrich is located at 26730 CROWN VALLEY PKWY STE 250 Mission Viejo, CA 92691.

What is the specialty for James A. Heinrich ?


Answer: The Specialty of James A. Heinrich is An Otolaryngology Physician.

Are there any online reviews for James A. Heinrich ?


Answer: Yes! Check It Now.

Are there any other health care providers in Mission Viejo, CA?


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 James A. Heinrich

Number of HCPCS 89
Number of Medicare Beneficiaries 214
Number of Services 2444
Total Submitted Charge Amount 599563.04
Total Medicare Allowed Amount 275592.61
Total Medicare Payment Amount 217128.79
Total Medicare Standardized Payment Amount 190637.25
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 24
Number of Drug Services 854
Total Drug Submitted Charge Amount 20173
Total Drug Medicare Allowed Amount 11386.41
Total Drug Medicare Payment Amount 9105.73
Total Drug Medicare Standardized Payment Amount 8923.58
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 85
Number of Medicare Beneficiaries With Medical 214
Number of Medical Services 1590
Total Medical Submitted Charge Amount 579390.04
Total Medical Medicare Allowed Amount 264206.2
Total Medical Medicare Payment Amount 208023.06
Total Medical Medicare Standardized Payment Amount 181713.67
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 107
Number of Beneficiaries Age 75 to 84 69
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 114
Number of Male Beneficiaries 100
Number of Non-Hispanic White Beneficiaries 194
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.15
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.08
Percent (%) of Beneficiaries Identified With Asthma 0.1
Percent (%) of Beneficiaries Identified With Cancer 0.19
Percent (%) of Beneficiaries Identified With Heart Failure 0.13
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.23
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.07
Percent (%) of Beneficiaries Identified With Depression 0.16
Percent (%) of Beneficiaries Identified With Diabetes 0.21
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.64
Percent (%) of Beneficiaries Identified With Hypertension 0.61
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.43
Percent (%) of Beneficiaries Identified With Osteoporosis 0.16
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.45
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 1.0913

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 Otolaryngology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 567
Number of Standardized 30-Day Fills 647.66666667
Aggregate Cost Paid for All Claims 11204.08
Number of Day's Supply for All Claims 9046
Number of Medicare Beneficiaries 186
Number of Claims, Including Refills, for Beneficiaries Age 65+ 497
Including Refills, for Beneficiaries Age 65+ 567.66666667
Beneficiaries Age 65+ 9730.59
Number of Day's Supply for All Claims for Beneficaries Age 65+ 7496
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 29
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 538
Aggregate Cost Paid for Generic Drugs 8777.49
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 144
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1690.69
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 423
Aggregate Cost Paid for Claims Filled by 9513.39
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 69
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 1485.43
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 498
by Low-Income Subsidy 9718.65
Total Claims of Opioid Drugs, Including 126
Aggregate Cost Paid for Opioid Drugs 1553.62
Opioid Claims 78
Opioid_Tot_Clms divided by the Tot_Clms 22.222222222
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 182
Aggregate Cost Paid for Antibiotic Drugs 1583.06
Antibiotic Claims 131
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 75.52688172
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 99
Number of Male Beneficiaries 87
Number of Non-Hispanic White 169
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 1.1815645161

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