National Provider Identifier [NPI]: |
1538107818 |
Last Name Of The Provider |
BOYD |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 CROSSLAKE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
EVANSVILLE |
Zip Code Of The Provider |
477158198 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
11926 |
Number Of Medicare Beneficiaries |
1054 |
Total Submitted Charge Amount |
1919305 |
Total Medicare Allowed Amount |
499717.56 |
Total Medicare Payment Amount |
369314.62 |
Total Medicare Standardized Payment Amount |
396509.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
7357 |
Number Of Medicare Beneficiaries With Drug Services |
456 |
Total Drug Submitted ChargeAmount |
48917 |
Total Drug Medicare AllowedAmount |
28958.56 |
Total Drug Medicare PaymentAmount |
21795 |
Total Drug Medicare Standardized Payment Amount |
21795 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
4569 |
Number Of Medicare Beneficiaries With Medical Services |
1054 |
Total Medical Submitted Charge Amount |
1870388 |
Total Medical Medicare Allowed Amount |
470759 |
Total Medical Medicare Payment Amount |
347519.62 |
Total Medical Medicare Standardized Payment Amount |
374714.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
512 |
Number Of Beneficiaries Age 75 to 84 |
319 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
635 |
Number Of Male Beneficiaries |
419 |
Number Of Non Hispanic White Beneficiaries |
1015 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
966 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9849 |