National Provider Identifier [NPI]: |
1366422263 |
Last Name Of The Provider |
SYKES |
First Name Of The Provider |
ANNE-MARIE |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 1ST ST SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCHESTER |
Zip Code Of The Provider |
559050001 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
10 |
Number Of Services |
29908 |
Number Of Medicare Beneficiaries |
1155 |
Total Submitted Charge Amount |
232122.49 |
Total Medicare Allowed Amount |
141232 |
Total Medicare Payment Amount |
105154.22 |
Total Medicare Standardized Payment Amount |
124556.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
27745 |
Number Of Medicare Beneficiaries With Drug Services |
207 |
Total Drug Submitted ChargeAmount |
6305.75 |
Total Drug Medicare AllowedAmount |
4926.93 |
Total Drug Medicare PaymentAmount |
3560.25 |
Total Drug Medicare Standardized Payment Amount |
3560.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
2163 |
Number Of Medicare Beneficiaries With Medical Services |
1155 |
Total Medical Submitted Charge Amount |
225816.74 |
Total Medical Medicare Allowed Amount |
136305.07 |
Total Medical Medicare Payment Amount |
101593.97 |
Total Medical Medicare Standardized Payment Amount |
120996.22 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
530 |
Number Of Beneficiaries Age 75 to 84 |
386 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
540 |
Number Of Male Beneficiaries |
615 |
Number Of Non Hispanic White Beneficiaries |
1091 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1046 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.7778 |