National Provider Identifier [NPI]: |
1740251941 |
Last Name Of The Provider |
DEY |
First Name Of The Provider |
JAYANT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4250 S EASON BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUPELO |
Zip Code Of The Provider |
388016549 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
18854 |
Number Of Medicare Beneficiaries |
1720 |
Total Submitted Charge Amount |
1075206 |
Total Medicare Allowed Amount |
601228.55 |
Total Medicare Payment Amount |
455661.26 |
Total Medicare Standardized Payment Amount |
491691.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2222 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
89018 |
Total Drug Medicare AllowedAmount |
32049.36 |
Total Drug Medicare PaymentAmount |
25126.72 |
Total Drug Medicare Standardized Payment Amount |
25126.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
16632 |
Number Of Medicare Beneficiaries With Medical Services |
1720 |
Total Medical Submitted Charge Amount |
986188 |
Total Medical Medicare Allowed Amount |
569179.19 |
Total Medical Medicare Payment Amount |
430534.54 |
Total Medical Medicare Standardized Payment Amount |
466564.98 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
477 |
Number Of Beneficiaries Age 65 to 74 |
779 |
Number Of Beneficiaries Age 75 to 84 |
399 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
1103 |
Number Of Male Beneficiaries |
617 |
Number Of Non Hispanic White Beneficiaries |
1365 |
Number Of Black or African American Beneficiaries |
335 |
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 |
1245 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
475 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.259 |