National Provider Identifier [NPI]: |
1003820747 |
Last Name Of The Provider |
POYNOR |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
833 SAINT VINCENTS DR |
Street Address 2 Of The Provider |
POB# 3 SUITE 402 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352051606 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
8145 |
Number Of Medicare Beneficiaries |
898 |
Total Submitted Charge Amount |
279708 |
Total Medicare Allowed Amount |
229360.61 |
Total Medicare Payment Amount |
157955.68 |
Total Medicare Standardized Payment Amount |
174999.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1865 |
Number Of Medicare Beneficiaries With Drug Services |
459 |
Total Drug Submitted ChargeAmount |
24624 |
Total Drug Medicare AllowedAmount |
5129.43 |
Total Drug Medicare PaymentAmount |
3820.53 |
Total Drug Medicare Standardized Payment Amount |
3820.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
6280 |
Number Of Medicare Beneficiaries With Medical Services |
898 |
Total Medical Submitted Charge Amount |
255084 |
Total Medical Medicare Allowed Amount |
224231.18 |
Total Medical Medicare Payment Amount |
154135.15 |
Total Medical Medicare Standardized Payment Amount |
171178.8 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
475 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
572 |
Number Of Male Beneficiaries |
326 |
Number Of Non Hispanic White Beneficiaries |
786 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
866 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8623 |