National Provider Identifier [NPI]: |
1821088857 |
Last Name Of The Provider |
TAYLOR |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 SHADOW LN. |
Street Address 2 Of The Provider |
SUITE 240 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891064158 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
5149 |
Number Of Medicare Beneficiaries |
2509 |
Total Submitted Charge Amount |
612380 |
Total Medicare Allowed Amount |
264017.14 |
Total Medicare Payment Amount |
200767.62 |
Total Medicare Standardized Payment Amount |
198008.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
256 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
12800 |
Total Drug Medicare AllowedAmount |
208.67 |
Total Drug Medicare PaymentAmount |
163.55 |
Total Drug Medicare Standardized Payment Amount |
163.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
4893 |
Number Of Medicare Beneficiaries With Medical Services |
2509 |
Total Medical Submitted Charge Amount |
599580 |
Total Medical Medicare Allowed Amount |
263808.47 |
Total Medical Medicare Payment Amount |
200604.07 |
Total Medical Medicare Standardized Payment Amount |
197845.3 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
527 |
Number Of Beneficiaries Age 65 to 74 |
877 |
Number Of Beneficiaries Age 75 to 84 |
756 |
Number Of Beneficiaries Age Greater 84 |
349 |
Number Of Female Beneficiaries |
1305 |
Number Of Male Beneficiaries |
1204 |
Number Of Non Hispanic White Beneficiaries |
1595 |
Number Of Black or African American Beneficiaries |
436 |
Number Of AsianPacific Islander Beneficiaries |
114 |
Number Of Hispanic Beneficiaries |
307 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
1726 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
783 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.3696 |