Medicare Facts for Dr. William Biles, MD


National Provider Identifier [NPI]: 1275557167
Last Name Of The Provider BILES
First Name Of The Provider WILLIAM
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 96 STATE ROUTE 37
Street Address 2 Of The Provider
City Of The Provider NEW FAIRFIELD
Zip Code Of The Provider 068124034
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 39
Number Of Services 2519
Number Of Medicare Beneficiaries 496
Total Submitted Charge Amount 309656
Total Medicare Allowed Amount 160609.67
Total Medicare Payment Amount 113965.4
Total Medicare Standardized Payment Amount 109125.03
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 164
Number Of Medicare Beneficiaries With Drug Services 118
Total Drug Submitted ChargeAmount 7330
Total Drug Medicare AllowedAmount 5213.1
Total Drug Medicare PaymentAmount 5087.8
Total Drug Medicare Standardized Payment Amount 5087.8
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 30
Number Of Medical Services 2355
Number Of Medicare Beneficiaries With Medical Services 496
Total Medical Submitted Charge Amount 302326
Total Medical Medicare Allowed Amount 155396.57
Total Medical Medicare Payment Amount 108877.6
Total Medical Medicare Standardized Payment Amount 104037.23
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 35
Number Of Beneficiaries Age 65 to 74 224
Number Of Beneficiaries Age 75 to 84 154
Number Of Beneficiaries Age Greater 84 83
Number Of Female Beneficiaries 228
Number Of Male Beneficiaries 268
Number Of Non Hispanic White Beneficiaries 474
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 444
Number Of Beneficiaries With Medicare Medicaid Entitlement 52
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 6
Percent Of With Cancer 15
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 14
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 2
Average HCC Risk Score Of Beneficiaries 0.9487

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