National Provider Identifier [NPI]: |
1760478531 |
Last Name Of The Provider |
BOYER |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1505 SOUTHWEST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
JEFFERSON CITY |
Zip Code Of The Provider |
651092431 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
6390 |
Number Of Medicare Beneficiaries |
1446 |
Total Submitted Charge Amount |
475449.5 |
Total Medicare Allowed Amount |
246442.53 |
Total Medicare Payment Amount |
177031.21 |
Total Medicare Standardized Payment Amount |
193060.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
923 |
Number Of Medicare Beneficiaries With Drug Services |
270 |
Total Drug Submitted ChargeAmount |
21335 |
Total Drug Medicare AllowedAmount |
14893.18 |
Total Drug Medicare PaymentAmount |
13682.48 |
Total Drug Medicare Standardized Payment Amount |
13682.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
5467 |
Number Of Medicare Beneficiaries With Medical Services |
1446 |
Total Medical Submitted Charge Amount |
454114.5 |
Total Medical Medicare Allowed Amount |
231549.35 |
Total Medical Medicare Payment Amount |
163348.73 |
Total Medical Medicare Standardized Payment Amount |
179378.34 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
236 |
Number Of Beneficiaries Age 65 to 74 |
546 |
Number Of Beneficiaries Age 75 to 84 |
438 |
Number Of Beneficiaries Age Greater 84 |
226 |
Number Of Female Beneficiaries |
940 |
Number Of Male Beneficiaries |
506 |
Number Of Non Hispanic White Beneficiaries |
1399 |
Number Of Black or African American Beneficiaries |
28 |
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 |
1224 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
222 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2969 |