National Provider Identifier [NPI]: |
1467469197 |
Last Name Of The Provider |
BYRD |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
405 BARCLAY CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCHESTER HILLS |
Zip Code Of The Provider |
483074573 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
9122 |
Number Of Medicare Beneficiaries |
1228 |
Total Submitted Charge Amount |
2931998.98 |
Total Medicare Allowed Amount |
1625022.6 |
Total Medicare Payment Amount |
1251291.14 |
Total Medicare Standardized Payment Amount |
1070186.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
784 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
30372.16 |
Total Drug Medicare AllowedAmount |
28521.84 |
Total Drug Medicare PaymentAmount |
21996.9 |
Total Drug Medicare Standardized Payment Amount |
21996.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
8338 |
Number Of Medicare Beneficiaries With Medical Services |
1228 |
Total Medical Submitted Charge Amount |
2901626.82 |
Total Medical Medicare Allowed Amount |
1596500.76 |
Total Medical Medicare Payment Amount |
1229294.24 |
Total Medical Medicare Standardized Payment Amount |
1048189.85 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
532 |
Number Of Beneficiaries Age 75 to 84 |
455 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
553 |
Number Of Male Beneficiaries |
675 |
Number Of Non Hispanic White Beneficiaries |
1201 |
Number Of Black or African American Beneficiaries |
|
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1209 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0659 |