National Provider Identifier [NPI]: |
1538366240 |
Last Name Of The Provider |
MAY |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2747 NE CONNERS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEND |
Zip Code Of The Provider |
977018738 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
16441 |
Number Of Medicare Beneficiaries |
1869 |
Total Submitted Charge Amount |
1947824 |
Total Medicare Allowed Amount |
797076.59 |
Total Medicare Payment Amount |
578754.5 |
Total Medicare Standardized Payment Amount |
584353.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
314 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
10083 |
Total Drug Medicare AllowedAmount |
5915.07 |
Total Drug Medicare PaymentAmount |
4517.1 |
Total Drug Medicare Standardized Payment Amount |
4517.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
16127 |
Number Of Medicare Beneficiaries With Medical Services |
1869 |
Total Medical Submitted Charge Amount |
1937741 |
Total Medical Medicare Allowed Amount |
791161.52 |
Total Medical Medicare Payment Amount |
574237.4 |
Total Medical Medicare Standardized Payment Amount |
579836.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
989 |
Number Of Beneficiaries Age 75 to 84 |
601 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
763 |
Number Of Male Beneficiaries |
1106 |
Number Of Non Hispanic White Beneficiaries |
1815 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1786 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8485 |