National Provider Identifier [NPI]: |
1992772610 |
Last Name Of The Provider |
BAYSAL |
First Name Of The Provider |
DENIZ |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD, FRCP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
729 N MEDICAL CENTER DR W |
Street Address 2 Of The Provider |
SUITE 111 |
City Of The Provider |
CLOVIS |
Zip Code Of The Provider |
936116879 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
1050 |
Number Of Medicare Beneficiaries |
437 |
Total Submitted Charge Amount |
1019819 |
Total Medicare Allowed Amount |
406364.17 |
Total Medicare Payment Amount |
314892.9 |
Total Medicare Standardized Payment Amount |
312400.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
62 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
1607 |
Total Drug Medicare AllowedAmount |
654.46 |
Total Drug Medicare PaymentAmount |
506.38 |
Total Drug Medicare Standardized Payment Amount |
506.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
988 |
Number Of Medicare Beneficiaries With Medical Services |
437 |
Total Medical Submitted Charge Amount |
1018212 |
Total Medical Medicare Allowed Amount |
405709.71 |
Total Medical Medicare Payment Amount |
314386.52 |
Total Medical Medicare Standardized Payment Amount |
311894.01 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
159 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
319 |
Number Of Male Beneficiaries |
118 |
Number Of Non Hispanic White Beneficiaries |
240 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
120 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
188 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
249 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4176 |