National Provider Identifier [NPI]: |
1669443115 |
Last Name Of The Provider |
BOYD |
First Name Of The Provider |
SHERI |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1626 E COMMON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW BRAUNFELS |
Zip Code Of The Provider |
781303156 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
6439 |
Number Of Medicare Beneficiaries |
612 |
Total Submitted Charge Amount |
1544839 |
Total Medicare Allowed Amount |
385576.35 |
Total Medicare Payment Amount |
290883.88 |
Total Medicare Standardized Payment Amount |
310552.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
318 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
47262 |
Total Drug Medicare AllowedAmount |
16656.79 |
Total Drug Medicare PaymentAmount |
12611.12 |
Total Drug Medicare Standardized Payment Amount |
12611.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
6121 |
Number Of Medicare Beneficiaries With Medical Services |
612 |
Total Medical Submitted Charge Amount |
1497577 |
Total Medical Medicare Allowed Amount |
368919.56 |
Total Medical Medicare Payment Amount |
278272.76 |
Total Medical Medicare Standardized Payment Amount |
297941.54 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
393 |
Number Of Male Beneficiaries |
219 |
Number Of Non Hispanic White Beneficiaries |
555 |
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 |
575 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2729 |