National Provider Identifier [NPI]: |
1063692770 |
Last Name Of The Provider |
DOYLE |
First Name Of The Provider |
ALLISON |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
810 E SUNFLOWER RD |
Street Address 2 Of The Provider |
SUITE 100A |
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
387322800 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
163 |
Number Of Services |
5490 |
Number Of Medicare Beneficiaries |
526 |
Total Submitted Charge Amount |
307496 |
Total Medicare Allowed Amount |
176427.81 |
Total Medicare Payment Amount |
135823.55 |
Total Medicare Standardized Payment Amount |
145196.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
2453 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
14199 |
Total Drug Medicare AllowedAmount |
4218.6 |
Total Drug Medicare PaymentAmount |
3556.26 |
Total Drug Medicare Standardized Payment Amount |
3556.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
143 |
Number Of Medical Services |
3037 |
Number Of Medicare Beneficiaries With Medical Services |
525 |
Total Medical Submitted Charge Amount |
293297 |
Total Medical Medicare Allowed Amount |
172209.21 |
Total Medical Medicare Payment Amount |
132267.29 |
Total Medical Medicare Standardized Payment Amount |
141640.2 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
191 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
292 |
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 |
193 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
333 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9984 |