National Provider Identifier [NPI]: |
1740270115 |
Last Name Of The Provider |
BOYD |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
935 ELIZAVILLE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLEMINGSBURG |
Zip Code Of The Provider |
410419210 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
6148 |
Number Of Medicare Beneficiaries |
614 |
Total Submitted Charge Amount |
436678.17 |
Total Medicare Allowed Amount |
293618.52 |
Total Medicare Payment Amount |
203157.21 |
Total Medicare Standardized Payment Amount |
223015.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
2739 |
Number Of Medicare Beneficiaries With Drug Services |
285 |
Total Drug Submitted ChargeAmount |
25600.17 |
Total Drug Medicare AllowedAmount |
7498.43 |
Total Drug Medicare PaymentAmount |
6096.41 |
Total Drug Medicare Standardized Payment Amount |
6096.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3409 |
Number Of Medicare Beneficiaries With Medical Services |
614 |
Total Medical Submitted Charge Amount |
411078 |
Total Medical Medicare Allowed Amount |
286120.09 |
Total Medical Medicare Payment Amount |
197060.8 |
Total Medical Medicare Standardized Payment Amount |
216919.45 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
172 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
334 |
Number Of Male Beneficiaries |
280 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
410 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1546 |