National Provider Identifier [NPI]: |
1003013848 |
Last Name Of The Provider |
SAWYER |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 MEDICAL CENTER DR BOX 9236 |
Street Address 2 Of The Provider |
WEST VIRGINIA UNIVERSITY DEPT OF RADIOLOGY RM 2278 |
City Of The Provider |
MORGANTOWN |
Zip Code Of The Provider |
26506 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
220 |
Number Of Services |
11396 |
Number Of Medicare Beneficiaries |
3616 |
Total Submitted Charge Amount |
1991620.4 |
Total Medicare Allowed Amount |
609037.28 |
Total Medicare Payment Amount |
466361.42 |
Total Medicare Standardized Payment Amount |
469448.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
5346 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
38679 |
Total Drug Medicare AllowedAmount |
2289.67 |
Total Drug Medicare PaymentAmount |
1791.63 |
Total Drug Medicare Standardized Payment Amount |
1791.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
214 |
Number Of Medical Services |
6050 |
Number Of Medicare Beneficiaries With Medical Services |
3611 |
Total Medical Submitted Charge Amount |
1952941.4 |
Total Medical Medicare Allowed Amount |
606747.61 |
Total Medical Medicare Payment Amount |
464569.79 |
Total Medical Medicare Standardized Payment Amount |
467656.52 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
700 |
Number Of Beneficiaries Age 65 to 74 |
1121 |
Number Of Beneficiaries Age 75 to 84 |
1159 |
Number Of Beneficiaries Age Greater 84 |
636 |
Number Of Female Beneficiaries |
2136 |
Number Of Male Beneficiaries |
1480 |
Number Of Non Hispanic White Beneficiaries |
3003 |
Number Of Black or African American Beneficiaries |
362 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
209 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
2488 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1128 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0235 |