National Provider Identifier [NPI]: |
1649294042 |
Last Name Of The Provider |
NOYES |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 SHILOH ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORINTH |
Zip Code Of The Provider |
388342909 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
17067 |
Number Of Medicare Beneficiaries |
952 |
Total Submitted Charge Amount |
1106905 |
Total Medicare Allowed Amount |
418184.36 |
Total Medicare Payment Amount |
320461.14 |
Total Medicare Standardized Payment Amount |
341997.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
3596 |
Number Of Medicare Beneficiaries With Drug Services |
419 |
Total Drug Submitted ChargeAmount |
108910 |
Total Drug Medicare AllowedAmount |
36794.97 |
Total Drug Medicare PaymentAmount |
30650.2 |
Total Drug Medicare Standardized Payment Amount |
30650.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
13471 |
Number Of Medicare Beneficiaries With Medical Services |
952 |
Total Medical Submitted Charge Amount |
997995 |
Total Medical Medicare Allowed Amount |
381389.39 |
Total Medical Medicare Payment Amount |
289810.94 |
Total Medical Medicare Standardized Payment Amount |
311347.36 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
393 |
Number Of Beneficiaries Age 75 to 84 |
295 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
530 |
Number Of Male Beneficiaries |
422 |
Number Of Non Hispanic White Beneficiaries |
887 |
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 |
759 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
193 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1225 |