National Provider Identifier [NPI]: |
1427096767 |
Last Name Of The Provider |
NYMAN |
First Name Of The Provider |
WILLIAM |
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 |
5539 MARINE PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW PORT RICHEY |
Zip Code Of The Provider |
346524329 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
196 |
Number Of Services |
27205 |
Number Of Medicare Beneficiaries |
2858 |
Total Submitted Charge Amount |
1982379 |
Total Medicare Allowed Amount |
541952.31 |
Total Medicare Payment Amount |
434032.45 |
Total Medicare Standardized Payment Amount |
446828.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
22503 |
Number Of Medicare Beneficiaries With Drug Services |
340 |
Total Drug Submitted ChargeAmount |
68681 |
Total Drug Medicare AllowedAmount |
8700.1 |
Total Drug Medicare PaymentAmount |
6715.48 |
Total Drug Medicare Standardized Payment Amount |
6715.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
189 |
Number Of Medical Services |
4702 |
Number Of Medicare Beneficiaries With Medical Services |
2849 |
Total Medical Submitted Charge Amount |
1913698 |
Total Medical Medicare Allowed Amount |
533252.21 |
Total Medical Medicare Payment Amount |
427316.97 |
Total Medical Medicare Standardized Payment Amount |
440113.19 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
326 |
Number Of Beneficiaries Age 65 to 74 |
1233 |
Number Of Beneficiaries Age 75 to 84 |
936 |
Number Of Beneficiaries Age Greater 84 |
363 |
Number Of Female Beneficiaries |
1984 |
Number Of Male Beneficiaries |
874 |
Number Of Non Hispanic White Beneficiaries |
2680 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
96 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
2547 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
311 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3003 |