National Provider Identifier [NPI]: |
1083824601 |
Last Name Of The Provider |
TAYLOR |
First Name Of The Provider |
LAURA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12935 HIGHWAY 231 431 N |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAZEL GREEN |
Zip Code Of The Provider |
357508631 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
6397 |
Number Of Medicare Beneficiaries |
475 |
Total Submitted Charge Amount |
436598 |
Total Medicare Allowed Amount |
215597.21 |
Total Medicare Payment Amount |
155811.4 |
Total Medicare Standardized Payment Amount |
172104.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
2814 |
Number Of Medicare Beneficiaries With Drug Services |
263 |
Total Drug Submitted ChargeAmount |
51545 |
Total Drug Medicare AllowedAmount |
24015.68 |
Total Drug Medicare PaymentAmount |
19803.09 |
Total Drug Medicare Standardized Payment Amount |
19803.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
3583 |
Number Of Medicare Beneficiaries With Medical Services |
475 |
Total Medical Submitted Charge Amount |
385053 |
Total Medical Medicare Allowed Amount |
191581.53 |
Total Medical Medicare Payment Amount |
136008.31 |
Total Medical Medicare Standardized Payment Amount |
152301.53 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
445 |
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 |
395 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0469 |