National Provider Identifier [NPI]: |
1841298536 |
Last Name Of The Provider |
LLOYD |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1020 S. CONWELL STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
CASPER |
Zip Code Of The Provider |
82601 |
State Code Of The Provider |
WY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
3916 |
Number Of Medicare Beneficiaries |
587 |
Total Submitted Charge Amount |
233213 |
Total Medicare Allowed Amount |
177632.45 |
Total Medicare Payment Amount |
130766.96 |
Total Medicare Standardized Payment Amount |
131029.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2133 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
39416 |
Total Drug Medicare AllowedAmount |
30173.07 |
Total Drug Medicare PaymentAmount |
24115.51 |
Total Drug Medicare Standardized Payment Amount |
24115.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1783 |
Number Of Medicare Beneficiaries With Medical Services |
587 |
Total Medical Submitted Charge Amount |
193797 |
Total Medical Medicare Allowed Amount |
147459.38 |
Total Medical Medicare Payment Amount |
106651.45 |
Total Medical Medicare Standardized Payment Amount |
106913.73 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
342 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
563 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
527 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
26 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.004 |