National Provider Identifier [NPI]: |
1326020082 |
Last Name Of The Provider |
BYRNE |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1029 NICHOLS RD STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
OSAGE BEACH |
Zip Code Of The Provider |
650653008 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
3225 |
Number Of Medicare Beneficiaries |
1446 |
Total Submitted Charge Amount |
1226134.32 |
Total Medicare Allowed Amount |
413977.44 |
Total Medicare Payment Amount |
314249.41 |
Total Medicare Standardized Payment Amount |
335028.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3225 |
Number Of Medicare Beneficiaries With Medical Services |
1446 |
Total Medical Submitted Charge Amount |
1226134.32 |
Total Medical Medicare Allowed Amount |
413977.44 |
Total Medical Medicare Payment Amount |
314249.41 |
Total Medical Medicare Standardized Payment Amount |
335028.91 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
249 |
Number Of Beneficiaries Age 65 to 74 |
697 |
Number Of Beneficiaries Age 75 to 84 |
383 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
822 |
Number Of Male Beneficiaries |
624 |
Number Of Non Hispanic White Beneficiaries |
1417 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1200 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
246 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1857 |