National Provider Identifier [NPI]: |
1710935440 |
Last Name Of The Provider |
DYER |
First Name Of The Provider |
LAURA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3007 MEMORIAL PKWY SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358015393 |
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 |
108 |
Number Of Services |
8096 |
Number Of Medicare Beneficiaries |
680 |
Total Submitted Charge Amount |
243698.73 |
Total Medicare Allowed Amount |
133155.74 |
Total Medicare Payment Amount |
100938.48 |
Total Medicare Standardized Payment Amount |
110624.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
4843 |
Number Of Medicare Beneficiaries With Drug Services |
467 |
Total Drug Submitted ChargeAmount |
38626 |
Total Drug Medicare AllowedAmount |
4150.65 |
Total Drug Medicare PaymentAmount |
3233.26 |
Total Drug Medicare Standardized Payment Amount |
3233.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
3253 |
Number Of Medicare Beneficiaries With Medical Services |
680 |
Total Medical Submitted Charge Amount |
205072.73 |
Total Medical Medicare Allowed Amount |
129005.09 |
Total Medical Medicare Payment Amount |
97705.22 |
Total Medical Medicare Standardized Payment Amount |
107391.35 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
415 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
658 |
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 |
564 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0071 |