National Provider Identifier [NPI]: |
1437171360 |
Last Name Of The Provider |
BYERS |
First Name Of The Provider |
JONELL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
502 N MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ULYSSES |
Zip Code Of The Provider |
678802134 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
3590 |
Number Of Medicare Beneficiaries |
958 |
Total Submitted Charge Amount |
585953.66 |
Total Medicare Allowed Amount |
235424.78 |
Total Medicare Payment Amount |
168024.56 |
Total Medicare Standardized Payment Amount |
178496.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
47 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
24951.5 |
Total Drug Medicare AllowedAmount |
9980.48 |
Total Drug Medicare PaymentAmount |
7751.9 |
Total Drug Medicare Standardized Payment Amount |
7751.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
3543 |
Number Of Medicare Beneficiaries With Medical Services |
958 |
Total Medical Submitted Charge Amount |
561002.16 |
Total Medical Medicare Allowed Amount |
225444.3 |
Total Medical Medicare Payment Amount |
160272.66 |
Total Medical Medicare Standardized Payment Amount |
170744.55 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
367 |
Number Of Beneficiaries Age 75 to 84 |
383 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
451 |
Number Of Non Hispanic White Beneficiaries |
931 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
922 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8242 |