National Provider Identifier [NPI]: |
1083738629 |
Last Name Of The Provider |
LAYMAN |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
P.A.-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1010 E DIXON BLVD |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
SHELBY |
Zip Code Of The Provider |
281526838 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
1307.1 |
Number Of Medicare Beneficiaries |
462 |
Total Submitted Charge Amount |
149512.91 |
Total Medicare Allowed Amount |
56409.76 |
Total Medicare Payment Amount |
37007.66 |
Total Medicare Standardized Payment Amount |
47788.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
86.1 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
1556.14 |
Total Drug Medicare AllowedAmount |
274.48 |
Total Drug Medicare PaymentAmount |
187.79 |
Total Drug Medicare Standardized Payment Amount |
187.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
1221 |
Number Of Medicare Beneficiaries With Medical Services |
462 |
Total Medical Submitted Charge Amount |
147956.77 |
Total Medical Medicare Allowed Amount |
56135.28 |
Total Medical Medicare Payment Amount |
36819.87 |
Total Medical Medicare Standardized Payment Amount |
47600.82 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
276 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
418 |
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 |
394 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9301 |