National Provider Identifier [NPI]: |
1205037561 |
Last Name Of The Provider |
TAYLOR |
First Name Of The Provider |
MEHUL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
647 W AVENUE Q |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALMDALE |
Zip Code Of The Provider |
935513893 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
7722 |
Number Of Medicare Beneficiaries |
759 |
Total Submitted Charge Amount |
2251466.83 |
Total Medicare Allowed Amount |
587608.31 |
Total Medicare Payment Amount |
446879.27 |
Total Medicare Standardized Payment Amount |
415734.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2293 |
Number Of Medicare Beneficiaries With Drug Services |
344 |
Total Drug Submitted ChargeAmount |
266325 |
Total Drug Medicare AllowedAmount |
71380.2 |
Total Drug Medicare PaymentAmount |
55572.51 |
Total Drug Medicare Standardized Payment Amount |
55572.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
5429 |
Number Of Medicare Beneficiaries With Medical Services |
759 |
Total Medical Submitted Charge Amount |
1985141.83 |
Total Medical Medicare Allowed Amount |
516228.11 |
Total Medical Medicare Payment Amount |
391306.76 |
Total Medical Medicare Standardized Payment Amount |
360162.4 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
353 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
502 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
596 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
76 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
580 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2311 |