National Provider Identifier [NPI]: |
1528149234 |
Last Name Of The Provider |
HAYES |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
714 N HAMPTON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DESOTO |
Zip Code Of The Provider |
751154510 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
5439 |
Number Of Medicare Beneficiaries |
772 |
Total Submitted Charge Amount |
601379.34 |
Total Medicare Allowed Amount |
427439.08 |
Total Medicare Payment Amount |
323484.02 |
Total Medicare Standardized Payment Amount |
318891.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
88 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
3080 |
Total Drug Medicare AllowedAmount |
82.64 |
Total Drug Medicare PaymentAmount |
64.85 |
Total Drug Medicare Standardized Payment Amount |
64.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5351 |
Number Of Medicare Beneficiaries With Medical Services |
772 |
Total Medical Submitted Charge Amount |
598299.34 |
Total Medical Medicare Allowed Amount |
427356.44 |
Total Medical Medicare Payment Amount |
323419.17 |
Total Medical Medicare Standardized Payment Amount |
318826.56 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
246 |
Number Of Beneficiaries Age Greater 84 |
258 |
Number Of Female Beneficiaries |
487 |
Number Of Male Beneficiaries |
285 |
Number Of Non Hispanic White Beneficiaries |
561 |
Number Of Black or African American Beneficiaries |
171 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
568 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8546 |